Individual provider Active NPI

Tammie Lynn Moore, NP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1447515515
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000613 Issued in DE
Practice address
15 Eastwind CT
Newark, DE 19713-2825
Phone
(302) 593-4595
NPI assigned
Jul 5, 2012
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 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 LG-0000613 DE Primary

Addresses

Primary practice location

15 Eastwind CT
Newark, DE 19713-2825

Mailing address

15 Eastwind CT
Newark, DE 19713-2825
Phone (302) 593-4595

Other names 1

  • Ms. Tammie Lynn Davies Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20120814000016 DE Practitioner - Nurse Practitioner 2466608088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000613DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Jun 1, 2017 Accepting new patients
Delaware Center for Digestive Care LLC CurrentSince Sep 1, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2012 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2012 Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

537 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-2380

537 Stanton Christiana Rd
Ste 203
Newark, DE 19713
Phone (302) 225-2380

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Organizations & group practices 4

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1447515515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EASTWIND CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132825",
            "telephone_number": "302-593-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EASTWIND CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132825",
            "telephone_number": "302-593-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMIE",
            "last_name": "DAVIES",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.