Active NPI
Tammy Lee Hadfield, NP
- Nurse Practitioner
- Meridian, ID
National Provider Identifier
1457456022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP634A
- Practice address
- 1943 N Locust Grove Rd
Meridian, ID 83646-1829 - Phone
- (208) 287-8400
- Fax
- (208) 287-8404
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP634A | ID | Primary |
Addresses
Primary practice location
1943 N Locust Grove Rd
Meridian, ID 83646-1829
Mailing address
1943 N Locust Grove Rd
Meridian, ID 83646-1829
Phone (208) 287-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS10595 | Other | ID | STATE BOARD OF PHARMACY |
| 10000547560 | Other | ID | REGENCE BLUE SHIELD |
| 8N682 | Other | ID | BLUE CROSS OF IDAHO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP634A | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Only Hormones, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Southwest District Health | Past | Accepting new patients | |
| State of Idaho | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20689/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Meridian, ID
- NPI 1538967716
-
- Public Health or Welfare Agency
- Caldwell, ID
- NPI 1598748337
-
- Low Vision Rehabilitation Optometrist
- Boise, ID
- NPI 1801833454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1457456022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 N LOCUST GROVE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461829",
"telephone_number": "208-287-8400",
"fax_number": "208-287-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 N LOCUST GROVE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461829",
"telephone_number": "208-287-8400",
"fax_number": "208-287-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADFIELD",
"first_name": "TAMMY",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP634A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "CS10595",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "10000547560",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "8N682",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.