Individual provider Active NPI

Tammy Sue Ziegler, WHCNP

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1558356766
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71000481A Issued in IN
Practice address
675 Justice Way
Room C0049
Indianapolis, IN 46203
Phone
(877) 465-6650
Fax
(804) 294-2775
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71000481A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71000481A IN

Addresses

Primary practice location

675 Justice Way
Room C0049
Indianapolis, IN 46203

Mailing address

147 W Green Meadows Dr Ste 2
Greenfield, IN 46140-4000
Phone (812) 486-5715

Other practice location 1

147 W Green Meadows Dr Ste 2
Greenfield, IN 46140-4000
Phone (812) 486-5715

Other identifiers 1

IdentifierTypeStateIssuer
200301100MedicaidIN

Other names 1

  • Tammy Sue Noggle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20040913001072 IN Practitioner - Nurse Practitioner 8325015050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000481AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holon Health Great Lakes, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Botsford General Hospital Current Accepting new patients
Indiana University Health Paoli Inc Past Accepting new patients
Pain Management Center of Southern Indiana, Inc. Past Accepting new patients
Pain Management Center of Southern Indiana Past Accepting new patients
Roundhouse Emergency Physicians LLC PastSince Sep 15, 2019 Accepting new patients
Holon Health, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700

675 Justice Way
Rm C49
Indianapolis, IN 46203
Phone (219) 798-3361

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

Organizations & group practices 7

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1558356766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W GREEN MEADOWS DR STE 2",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461404000",
            "telephone_number": "812-486-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 JUSTICE WAY",
            "address_2": "ROOM C0049",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46203",
            "telephone_number": "877-465-6650",
            "fax_number": "804-294-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 W Green Meadows Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461404000",
            "country_code": "US",
            "telephone_number": "812-486-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71000481A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71000481A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200301100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "NOGGLE",
            "middle_name": "SUE",
            "credential": "WHCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.