Active NPI
Tammy White
- Registered Nurse
- Beaver, WV
National Provider Identifier
1568373637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 80851
- Practice address
- 106 Lockheed Dr
Beaver, WV 25813-8962 - Phone
- (304) 253-5155
- NPI assigned
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 80851 | WV | Primary |
Addresses
Primary practice location
106 Lockheed Dr
Beaver, WV 25813-8962
Mailing address
106 Lockheed Dr
Beaver, WV 25813-8962
Phone (304) 253-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1568373637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LOCKHEED DR",
"city": "BEAVER",
"state": "WV",
"postal_code": "258138962",
"telephone_number": "304-253-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LOCKHEED DR",
"city": "BEAVER",
"state": "WV",
"postal_code": "258138962",
"telephone_number": "304-253-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TAMMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "WV",
"license": "80851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.