Organization Active NPI

Tammy Grove Hamilton, LLC

Doing business as Martinsburg Family Healthcare

  • Family Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1376700047
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33330 CERT-F0906082 Issued in WV
Legal business name
TAMMY GROVE HAMILTON, LLC
Doing business as
Martinsburg Family Healthcare
Practice address
1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864
Phone
(304) 267-9355
Fax
(304) 267-9358
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Mrs. Tammy G. Hamilton, APRN-BC
Title
Managing Member
Phone
(304) 267-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 33330 CERT-F0906082 WV Primary

Addresses

Primary practice location

1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864

Mailing address

1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864
Phone (304) 267-9355

Other names 1

  • Martinsburg Family Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1376700047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY GROVE HAMILTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-267-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "33330  CERT-F0906082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martinsburg Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.