Individual provider Active NPI

Tammy M Palermo, AGNP-CNP

  • Adult Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1619581873
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
212693 Issued in AR
Practice address
3901 Parkway Cir Ste 100
Springdale, AR 72762-5328
Phone
(479) 587-1700
Fax
(479) 587-1366
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 212693 AR
Adult Health Nurse Practitioner 363LA2200X 212693 AR Primary
Wound Care Registered Nurse 163WW0000X 212693 AR

Addresses

Primary practice location

3901 Parkway Cir Ste 100
Springdale, AR 72762-5328

Mailing address

3901 Parkway Cir Ste 100
Springdale, AR 72762-5328
Phone (479) 587-1700

Other practice location 1

210 County Road 1071
Eureka Springs, AR 72632-9480
Phone (501) 984-1480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ptptmp@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20231030002195 AR Practitioner - Nurse Practitioner 4486000304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Oncology Group PAGroup PAC ID 7416976196, 78 clinicians

Practice addresses (Care Compare)

3901 Pkwy Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212693ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Professionals, LLC CurrentSince Oct 12, 2023 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Oct 12, 2023 Accepting new patients
Highlands Oncology Group, PA CurrentSince Apr 1, 2024 Accepting new patients
Highlands Oncology Group PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

3901 Parkway Cir
Ste 100
Springdale, AR 72762
Phone (479) 313-6888

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1619581873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625328",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625328",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 County Road 1071",
            "address_purpose": "LOCATION",
            "city": "Eureka Springs",
            "state": "AR",
            "postal_code": "726329480",
            "country_code": "US",
            "telephone_number": "501-984-1480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "AGNP-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "212693",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "212693",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AR",
            "license": "212693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptptmp@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 County Road 1071",
            "city": "Eureka Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726329480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.