Tammy L Ellinger, RN, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F350658-01 Issued in NY

Practice address

6075 Judd Rd
Oriskany, NY 13424-4218

Phone

(315) 425-5390

Fax

(315) 426-3908

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1407058043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PARRY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404343",
            "telephone_number": "315-337-8382",
            "fax_number": "315-281-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 JUDD RD",
            "city": "ORISKANY",
            "state": "NY",
            "postal_code": "134244218",
            "telephone_number": "315-425-5390",
            "fax_number": "315-426-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGER",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "NY",
            "license": "477645-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F350658-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Ayer, LMHC
• Kelley Leigh Granato
• Devin Hladun, LMSW
• Sarah Lee Inserra, RD, CDN
• Gloria Janicki
• Rony Jean-Baptiste, PMHNP

• Family Medicine Physician in Oriskany, NY
• Providers in Oriskany, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.