Active NPI
Tammie D McClendon, CNP
- Adult Health Nurse Practitioner
- Inkster, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704202622
- Practice address
- 2500 Hamlin Dr
Inkster, MI 48141-2348 - Phone
- (313) 561-5100
- Fax
- (313) 565-0309
- NPI assigned
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704202622 | MI | |
| Adult Health Nurse Practitioner | 363LA2200X | 4704202622 | MI | Primary |
Addresses
Primary practice location
2500 Hamlin Dr
Inkster, MI 48141-2348
Mailing address
26650 Eureka Rd Ste C-1
Taylor, MI 48180-4835
Phone (734) 941-4991
Other practice location 1
501 N Maple Rd
Ann Arbor, MI 48103-2827
Phone (800) 395-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639509508 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3901 Chrysler Dr
Detroit, MI 48201-2167
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
501 N Maple Rd
Ann Arbor, MI 48103-2827
Phone (800) 395-3223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704202622 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
3901 Chrysler Dr
Ste 4A
Detroit, MI 48201
Phone (313) 966-7601
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- tbutler@direct.dmc.org
- tammie.mcclendon.1@19711.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clarkston, MI
- NPI 1609882067
-
- Social Worker
- Livonia, MI
- NPI 1154360402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1639509508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26650 EUREKA RD STE C-1",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481804835",
"telephone_number": "734-941-4991",
"fax_number": "734-941-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HAMLIN DR",
"city": "INKSTER",
"state": "MI",
"postal_code": "481412348",
"telephone_number": "313-561-5100",
"fax_number": "313-565-0309"
}
],
"practiceLocations": [
{
"address_1": "501 N Maple Rd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481032827",
"country_code": "US",
"telephone_number": "800-395-3223",
"fax_number": "833-329-6632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLENDON",
"first_name": "TAMMIE",
"middle_name": "D",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704202622",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704202622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639509508",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inkster, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.