NPIMap

Individual provider Active NPI

Tammy Mullins, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1366405250
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4171P Issued in KY
Practice address
3991 Dutchmans Lane
Suite 205
Louisville, KY 40207-4723
Phone
(502) 899-6170
Fax
(502) 899-6179
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001694A IN
Women's Health Nurse Practitioner 363LW0102X 4171P KY
Women's Health Nurse Practitioner 363LW0102X 71001694A IN
Family Nurse Practitioner 363LF0000X 4171P KY Primary

Addresses

Primary practice location

3991 Dutchmans Lane
Suite 205
Louisville, KY 40207-4723

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 895-8218

Other identifiers 1

IdentifierTypeStateIssuer
000000633086OtherKYANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmullins99081@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000092 KY Practitioner - Nurse Practitioner 6507754009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3991 Dutchmans LN
Louisville, KY 40207-4723

6400 Dutchmans Pkwy
Suite 300
Louisville, KY 40205-3350
Phone (502) 894-2444

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001694AINMDFamily Nurse Practitioner
4171PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Central Medical Associates PLLC PastSince Sep 1, 2016 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4950 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 425-5556

3991 Dutchmans Ln
Ste 205
Louisville, KY 40207
Phone (502) 899-6170

Interoperability endpoints

  • Direct secure messaging: tmullins99081@direct.nortonhealthcare.org

Organizations & group practices 5

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1366405250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-895-8218",
            "fax_number": "502-895-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 DUTCHMANS LANE",
            "address_2": "SUITE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074723",
            "telephone_number": "502-899-6170",
            "fax_number": "502-899-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TAMMY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001694A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "4171P",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71001694A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4171P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000633086",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmullins99081@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3991 Dutchmans Lane",
            "address_2": "Suite 205",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3991 Dutchmans Lane",
            "address_2": "Suite 205",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.