Individual provider Active NPI

Tammie Beth Van Liew, F.N.P.

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1639175805
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
584895 Issued in TX
Practice address
3506 21St St
Suite 400
Lubbock, TX 79410-1212
Phone
(806) 725-4115
Fax
(806) 723-7007
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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 584895 TX Primary

Addresses

Primary practice location

3506 21St St
Suite 400
Lubbock, TX 79410-1212

Mailing address

3506 21St St
Suite 400
Lubbock, TX 79410-1212
Phone (806) 725-4115

Other identifiers 1

IdentifierTypeStateIssuer
584895OtherTXTX LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070219000176 TX Practitioner - Nurse Practitioner 6800998097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LFM AssociatesGroup PAC ID 4082020086, 12 clinicians

Practice addresses (Care Compare)

7008 Indiana Ave
Suite a
Lubbock, TX 79413-6138
Phone (806) 698-8088

Hospital & facility affiliations

  • Calvert Home Health Care, LLC Home health agency, Lubbock, TX, CCN 677109
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
584895TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LFM Associates CurrentSince Apr 4, 2023 Accepting new patients
Kim E Pershall MD PA Family PastSince Apr 28, 2009 Accepting new patients
Rodney T Franklin, MD, PA Past Accepting new patients

Locations

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

7008 Indiana Ave
Ste A
Lubbock, TX 79413
Phone (806) 698-8088

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1639175805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 21ST ST",
            "address_2": "SUITE 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101212",
            "telephone_number": "806-725-4115",
            "fax_number": "806-723-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 21ST ST",
            "address_2": "SUITE 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101212",
            "telephone_number": "806-725-4115",
            "fax_number": "806-723-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LIEW",
        "first_name": "TAMMIE",
        "middle_name": "BETH",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "584895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE #",
            "identifier": "584895",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.