Tammy Lynn Black, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP021502 Issued in PA

Practice address

2323 Edinboro Rd
Erie, PA 16509-3476

Phone

(814) 323-2297

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Curana Health of Pennsylvania PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1679205876

  PA

  Medicare reassignment NPD
• Truhealth of Pennsylvania LLC

  • Nurse Practitioner
  • Erie, PA
  • NPI 1114741634

  PA

  Medicare reassignment NPD
• Visavis Health Care Medical Group of Pennsylvania PLLC

  • Family Medicine Physician
  • Wayne, PA
  • NPI 1619688132

  PA

  Medicare reassignment NPD
• Wellbe Senior Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1255089132

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1639701428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "WATTSBURG",
            "state": "PA",
            "postal_code": "164420249",
            "telephone_number": "814-323-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 EDINBORO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093476",
            "telephone_number": "814-323-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Polly C. Bitticker
• Amanda Bivens
• Amy Elizabeth Bixler Tomlison, PSY.D.
• Jenner Black
• Shaun Black, DO
• Kaitlyn Marie Blackburn, DO
• Hope Blackford
• Irene T Blackford, PHD
• Mary Blackford, LCSW
• Richard Chadwick Blackford, PH.D.

• All providers in Erie, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.