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
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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 PA 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

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Tammy Lynn Miller Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2025.

{
    "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.