Individual provider Active NPI

Tammy Lynn Fuller, APRN

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
National Provider Identifier
1619614930
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018505 Issued in FL
Practice address
161 N. Causeway Ste. C
New Smyrna Beach, FL 32169
Phone
(386) 424-8440
Fax
(386) 426-8839
NPI assigned
May 18, 2022
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018505 FL Primary

Addresses

Primary practice location

161 N. Causeway Ste. C
New Smyrna Beach, FL 32169

Mailing address

161 N. Causeway Ste. C
New Smyrna Beach, FL 32169
Phone (386) 424-8440

Other names 1

  • Tammy Lynn Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230329003519 FL Practitioner - Nurse Practitioner 2567836711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naples Heart Rhythm Specialists PAGroup PAC ID 8729177035, 21 clinicians

Practice addresses (Care Compare)

730 Goodlette Rd N
Suite 100
Naples, FL 34102-5617
Phone (239) 682-6603

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as group
Quality
72.26
Promoting interoperability
100
Improvement activities
40
Cost
75.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018505FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Heart Rhythm Specialists PA CurrentSince Jan 1, 2023 Accepting new patients

Locations

6376 Pine Ridge Rd
Unit 180
Naples, FL 34119
Phone (239) 263-0849

730 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 263-0849

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25641/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tammy.fuller.1@25641.direct.athenahealth.com

Organizations & group practices 1

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1619614930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N. CAUSEWAY STE. C",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-424-8440",
            "fax_number": "386-426-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N. CAUSEWAY STE. C",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-424-8440",
            "fax_number": "386-426-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.