Tammy Lynn Davis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R147980-5 Issued in MN

Practice address

324 W Superior St Ste 620
Duluth, MN 55802-1723

Phone

(218) 606-1797

Fax

(651) 952-0039

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tammy Lynn Anderson Former name

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wound Care Minnesota PLLCGroup PAC ID 2769722511, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

59.96 of 100Reported as group

Quality

79.07

Promoting interoperability

0

Improvement activities

20

Cost

62.47

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrated Wound Care Minnesota PLLC

  • General Practice Physician
  • Delano, MN
  • NPI 1205390457
  Medicare reassignment Care Compare group NPD
• Northland Neurology and Myology PA

  • Specialist
  • Floodwood, MN
  • NPI 1649296245
  Medicare reassignment NPD
• Integrated Wound Care Management Wisconsin LLC

  • General Practice Physician
  • Superior, WI
  • NPI 1154963049
  Medicare reassignment NPD
• Integrated Wound Care Wisconsin Medical LLC

  • General Practice Physician
  • Madison, WI
  • NPI 1184506354
  Medicare reassignment NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1528134129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 620",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021723",
            "telephone_number": "218-591-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 620",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021723",
            "telephone_number": "218-606-1797",
            "fax_number": "651-952-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 County Road 30 SE",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "MN",
            "postal_code": "55328",
            "country_code": "US",
            "telephone_number": "718-705-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "3238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R147980-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "591804900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "ANDERSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jefferson John Davis, DO
• Julianne Marie Davis, PSYD
• Leah A Davis, APRN, CRNA
• Michele Marie Davis, APRN, CNP
• Sara Davis, MSW, LGSW
• Terrica Renee Davis, RN
• Christine M Day, RN,MS,APRN,BC
• Elizabeth Day, DO
• Elizabeth Victoria Day, APRN, CNP
• Emily Curran Day, FNP, RN, BSN

• Family Nurse Practitioner in Duluth, MN
• Providers in Duluth, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.