NPIMap

Individual provider Active NPI

Tamara L Dunlap-Workman, PA-C

  • Physician Assistant
  • Spring Valley, IL
National Provider Identifier
1396811907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 E 1St St
Spring Valley, IL 61362-1512
Phone
(815) 664-1600
NPI assigned
Nov 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

600 E 1St St
Spring Valley, IL 61362-1512

Mailing address

600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 664-1600

Other names 1

  • Tamara L Dunlap Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090325000362 IL Practitioner - Physician Assistant 7315004033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians

Practice addresses (Care Compare)

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141

535 Park Ave E
Princeton, IL 61356-2537
Phone (815) 875-4531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-000691ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Jun 21, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System CurrentSince Jun 21, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jun 21, 2023 Accepting new patients
Saint James Hospital CurrentSince Jun 21, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1650 Midtown Rd
Peru, IL 61354
Phone (815) 220-1122

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

Organizations & group practices 12

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396811907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP-WORKMAN",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "DUNLAP",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.