NPIMap

Individual provider Active NPI

Tammy Jibben Wingo, F.N.P.

  • Family Nurse Practitioner
  • Farmville, VA
National Provider Identifier
1639172182
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024129303 Issued in VA
Practice address
1100 W 3Rd St
Farmville, VA 23901-2628
Phone
(434) 394-2422
Fax
(434) 394-2435
NPI assigned
May 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0024129303 VA Primary

Addresses

Primary practice location

1100 W 3Rd St
Farmville, VA 23901-2628

Mailing address

PO Box 585
Farmville, VA 23901-0585
Phone (434) 394-2422

Other identifiers 3

IdentifierTypeStateIssuer
0024129303OtherVALICENSE
010262020MedicaidVA
C09816OtherVAMEDICARE GROUP NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000724 VA Practitioner - Nurse Practitioner 7012900038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 W 3Rd St
Farmville, VA 23901-2628
Phone (434) 394-2422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024129303VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Clinic of Farmville CurrentSince Oct 15, 2019 Accepting new patients
Primecare Consulting and Management LLC PastSince May 3, 2020 Accepting new patients

Locations

1100 W 3rd St
Farmville, VA 23901
Phone (434) 392-7859

Interoperability endpoints

  • Direct secure messaging: tammy.wingofnp.p2@direct.msmg.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639172182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010585",
            "telephone_number": "434-394-2422",
            "fax_number": "434-394-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012628",
            "telephone_number": "434-394-2422",
            "fax_number": "434-394-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "TAMMY",
        "middle_name": "JIBBEN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024129303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0024129303",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010262020",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NO",
            "identifier": "C09816",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.