Active NPI
Tammie D Reggio, P.A.
- Physician Assistant
- Mustang, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 981
- Practice address
- 160 E SW 59TH St
Mustang, OK 73064-4722 - Phone
- (405) 757-7818
- Fax
- (405) 703-0645
- NPI assigned
- Feb 20, 2006
- Last updated
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 981 | OK | Primary |
| Medical Physician Assistant | 363AM0700X | 981 | OK | |
| Emergency Medicine Physician | 207P00000X | 981 | OK |
Addresses
Primary practice location
160 E SW 59TH St
Mustang, OK 73064-4722
Mailing address
4300 Caravel Dr Apt 1115
Yukon, OK 73099-3782
Phone (580) 716-0245
Other practice location 1
14101 N Eastern Ave Ste B
Edmond, OK 73013-5860
Phone (888) 245-9806
Other practice location 2
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Phone (405) 930-4965
Other practice location 3
105 E Grand Ave
Tonkawa, OK 74653-3503
Phone (580) 789-1268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100227880A | Medicaid | OK |
Other names 1
- Tammie D Maness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 981 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Ohh Physicians, LLC | Past | Accepting new patients | |
| Jeffrey R Shuart MD PC | Past | Accepting new patients |
Locations
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
2501 N 14th St
Ponca City, OK 74601
Phone (580) 749-5076
Interoperability endpoints
- https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
- https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
Organizations & group practices 6
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.
-
dba Integrity Urgent Care
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1548239494
-
dba Integrity Urgent Care
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- Family Medicine Physician
- Blackwell, OK
- NPI 1972638773
-
dba OHH Physicians
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1386619856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 CARAVEL DR APT 1115",
"city": "YUKON",
"state": "OK",
"postal_code": "730993782",
"telephone_number": "580-716-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E SW 59TH ST",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730644722",
"telephone_number": "405-757-7818",
"fax_number": "405-703-0645"
}
],
"practiceLocations": [
{
"address_1": "14101 N Eastern Ave Ste B",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730135860",
"country_code": "US",
"telephone_number": "888-245-9806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4913 W Reno Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731276339",
"country_code": "US",
"telephone_number": "405-930-4965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 E Grand Ave",
"address_purpose": "LOCATION",
"city": "Tonkawa",
"state": "OK",
"postal_code": "746533503",
"country_code": "US",
"telephone_number": "580-789-1268",
"fax_number": "888-712-9476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGGIO",
"first_name": "TAMMIE",
"middle_name": "D",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "981",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "981",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "981",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100227880A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMIE",
"last_name": "MANESS",
"middle_name": "D",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.