Active NPI
Tammy Burden Ransom, NURSE PRACTITIONER
- Nurse Practitioner
- Evansville, IN
National Provider Identifier
1487845624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71002452A
- Practice address
- 310 W Iowa St
Evansville, IN 47710-1724 - Phone
- (812) 450-7419
- Fax
- (812) 450-6760
- NPI assigned
- Aug 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002452A | IN | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 28134404A | IN |
Addresses
Primary practice location
310 W Iowa St
Evansville, IN 47710-1724
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-7419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200873860 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002452A | IN | MD | Nurse Practitioner |
| 28134404A | IN | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1487845624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"telephone_number": "812-450-7419",
"fax_number": "812-450-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W IOWA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101724",
"telephone_number": "812-450-7419",
"fax_number": "812-450-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANSOM",
"first_name": "TAMMY",
"middle_name": "BURDEN",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002452A",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "28134404A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200873860",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.