Individual provider Active NPI

Tammy Lee Hadfield, NP

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1457456022
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP634A Issued in ID
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

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CS10595OtherIDSTATE BOARD OF PHARMACY
10000547560OtherIDREGENCE BLUE SHIELD
8N682OtherIDBLUE 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
NP634AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.