Individual provider Active NPI

Tamara Jean Muse, NP - CERTIFIED

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1427204692
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005646 Issued in KY
Practice address
2441 South Hwy 27
Blue Grass Oakwood
Somerset, KY 42501-2935
Phone
(606) 677-4068
Fax
(606) 677-4147
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3005646 KY Primary

Addresses

Primary practice location

2441 South Hwy 27
Blue Grass Oakwood
Somerset, KY 42501-2935

Mailing address

2441 South Hwy 27
Blue Grass Oakwood
Somerset, KY 42501-2935
Phone (606) 677-4068

Other identifiers 1

IdentifierTypeStateIssuer
1427204692MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1427204692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 SOUTH HWY 27",
            "address_2": "BLUE GRASS OAKWOOD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012935",
            "telephone_number": "606-677-4068",
            "fax_number": "606-677-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 SOUTH HWY 27",
            "address_2": "BLUE GRASS OAKWOOD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012935",
            "telephone_number": "606-677-4068",
            "fax_number": "606-677-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "TAMARA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP - CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427204692",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.