Tammy Pennington, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174663 Issued in VA

Practice address

700 W Hillsboro Blvd
Deerfield BCH, FL 33441-1612

Phone

(866) 448-7716

NPI assigned

Apr 11, 2017

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 VA

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

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1609309152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334411612",
            "telephone_number": "866-448-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334411612",
            "telephone_number": "866-448-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "TAMMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Pacheco
• Valentina Palacio
• Lakayla Patterson
• Richard D. Pellegrino, D.C.
• Corey Pendleton
• Shemane E Pepe, BSW
• Alexandra Alicia Perez
• Griselda Perez
• Pharos Group, LLC
• Daline Pierre-Baptiste

• Family Nurse Practitioner in Deerfield BCH, FL
• Providers in Deerfield BCH, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.