Individual provider Active NPI

Tamara C Hall, RN ACNP

  • Adult Medicine Physician
  • Kilmarnock, VA
National Provider Identifier
1356401517
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0024165987 Issued in VA
Practice address
86 Harris Dr.
Kilmarnock, VA 22482
Phone
(804) 435-2651
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 0024165987 VA Primary

Addresses

Primary practice location

86 Harris Dr.
Kilmarnock, VA 22482

Mailing address

PO Box 535
Burgess, VA 22432-0535
Phone (804) 453-7517

Other practice location 1

4709 Richmond Rd
Warsaw, VA 22572-3143
Phone (804) 559-6980 ext. 4007

Other identifiers 2

IdentifierTypeStateIssuer
P00480084OtherVARR MEDICARE
0024165987OtherVANP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000563 VA Practitioner - Nurse Practitioner 4880798503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Specialists PCGroup PAC ID 4880676113, 12 clinicians

Practice addresses (Care Compare)

4709 Richmond Rd
Warsaw, VA 22572-3143
Phone 80455969802005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Specialists PC CurrentSince Jul 23, 2025 Accepting new patients
The Northern Neck-Middlesex Free Health Clinic, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Northern Neck Free Health Clinic Past Accepting new patients

Locations

8400 N Run Medical Dr
Ste 200
Mechanicsville, VA 23116
Phone (804) 559-6980

Interoperability endpoints

  • Direct secure messaging: tamara.hall.1@30182.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20471/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1356401517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BURGESS",
            "state": "VA",
            "postal_code": "224320535",
            "telephone_number": "804-453-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 HARRIS DR.",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "VA",
            "postal_code": "225723143",
            "country_code": "US",
            "telephone_number": "804-559-6980 x4007",
            "fax_number": "804-559-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TAMARA",
        "middle_name": "C",
        "credential": "RN  ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0024165987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00480084",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "0024165987",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.