Individual provider Active NPI

Tammy Elizabeth Katz

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1396317392
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014698 Issued in NC
Practice address
4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738
Phone
(919) 877-6800
NPI assigned
Jul 11, 2021
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5014698 NC Primary

Addresses

Primary practice location

4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738

Mailing address

1510 Rierson Rd
Tobaccoville, NC 27050-9135
Phone (336) 926-7181

Other practice location 1

436 Hadley street
Mount Airy, NC 27030
Phone (336) 926-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211011001311 NC Practitioner - Nurse Practitioner 9638577315 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Wound Care Center PLLCGroup PAC ID 6901326248, 5 clinicians

Practice addresses (Care Compare)

18805 W Catawba Ave
Suite 205a
Cornelius, NC 28031-4609

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014698NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Kidney Care, PC CurrentSince Sep 15, 2025 Accepting new patients
Care Solutions of NC, PC CurrentSince Sep 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 15, 2022 Accepting new patients
Renew Wound Care Center PLLC CurrentSince Apr 2, 2025 Accepting new patients
Renew Wound Care Specialists Nurse Practitioner PastSince Sep 7, 2021 Accepting new patients

Locations

1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638

1600 Stout St
Ste 2000
Denver, CO 80202
Phone (720) 240-5760

18805 W Catawba Ave
Ste 205A
Cornelius, NC 28031
Phone (704) 310-1043

4208 Six Forks Rd
Ste 1000
Raleigh, NC 27609
Phone (919) 877-6800

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1396317392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 RIERSON RD",
            "city": "TOBACCOVILLE",
            "state": "NC",
            "postal_code": "270509135",
            "telephone_number": "336-926-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 SIX FORKS RD STE 1000",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095738",
            "telephone_number": "919-877-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Hadley street",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "27030",
            "country_code": "US",
            "telephone_number": "336-926-7181",
            "fax_number": "336-443-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "TAMMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.