Tammy Danielle Lusk

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AO3084 ANP Issued in AR

Practice address

1660 W C PL
Russellville, AR 72801-2705

Phone

(479) 219-5008

Fax

(479) 219-5025

NPI assigned

Apr 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tammy Danielle McQueen Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist HealthGroup PAC ID 0648177949, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care IV Home Health Home health agency, Russellville, AR, CCN 047173
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlusk706999@direct.baptist-healthar.org

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.

• Baptist Health

  • Rural Health Clinic/Center
  • Sparkman, AR
  • NPI 1427630110
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1598031882
  Medicare reassignment NPD
• Arkansas Health Group

  • Pulmonary Disease Physician
  • Little Rock, AR
  • NPI 1609317429
  NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Baptist Health

  • Rural Health Clinic/Center
  • Russellville, AR
  • NPI 1689467102
  NPD
• Baptist Health

  • Multi-Specialty Clinic/Center
  • Heber Springs, AR
  • NPI 1932081221
  NPD
• Baptist Health

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1578593067
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Care IV, Inc.

  • Home Health Agency
  • Russellville, AR
  • NPI 1235149212
  Care Compare affiliation
• Care IV, Inc.

  • Home Health Agency
  • Little Rock, AR
  • NPI 1275520652
  Care Compare affiliation
• Conway Community Services

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation
• Russellville Holdings LLC

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049
  Care Compare affiliation

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1457525909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 W C PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012705",
            "telephone_number": "479-219-5008",
            "fax_number": "479-219-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 W C PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012705",
            "telephone_number": "479-219-5008",
            "fax_number": "479-219-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Malcolm Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123668",
            "country_code": "US",
            "telephone_number": "870-512-2500",
            "fax_number": "870-262-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSK",
        "first_name": "TAMMY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AO3084 ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "MCQUEEN",
            "middle_name": "DANIELLE",
            "prefix": "MISS",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Marie Lowther, MD
• Carlos David Lozano
• Caroline Ruth Lozano
• Jon Lundquist, L.C.S.W.
• Anong Lunsford
• Emily Rebecca Lyman, LPC
• Shawn David Lyman, LAMFT
• Jared Iverson Magee, MHPP
• Daniel E Magill, MD
• Tiffany Mahon

• Family Nurse Practitioner in Russellville, AR
• Providers in Russellville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.