Tambra Shiver Middleton, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1128843 Issued in AL

Practice address

750 Morphy Ave
Fairhope, AL 36532-1812

Phone

(251) 990-1922

Fax

(251) 990-1912

NPI assigned

Sep 25, 2014

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tambra.middleton@2498.securemail.prognocis.com
• Direct secure messaging: tambra.middleton.1@31146.direct.athenahealth.com

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.

• Bay Minette Pediatrics

  dba Bay Minette Family Practice

  • Family Medicine Physician
  • Bay Minette, AL
  • NPI 1912748914
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1477955045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331276",
            "telephone_number": "251-990-1922",
            "fax_number": "251-990-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-990-1922",
            "fax_number": "251-990-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "TAMBRA",
        "middle_name": "SHIVER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1128843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Amber Merchant, CRNP
• Mercy Medical, a Corporation
• Mercy Medical, a Corporation (Mercy Medical Hospice)
• Gregory W Merritt, MD
• Margaret Claire Meyers, MD
• Miles F Jones & Scott Coleman DMD PA
• Amber Miller, MS, OTR/L
• Kaleigh Elizabeth Miller, MD
• Karen Shea Miller, LPC/LMHC/RPT
• Kinsey Miller, LPC, NCC

• Family Nurse Practitioner in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.