Individual provider Active NPI

Tammy Estabrook Acker, RN

  • Case Management Registered Nurse
  • Auburn, ME
National Provider Identifier
1639739139
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN26644 Issued in ME
Practice address
30 Belgrade Ave Ste a
Auburn, ME 04210-4096
Phone
(207) 783-0018
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN26644 ME Primary

Addresses

Primary practice location

30 Belgrade Ave Ste a
Auburn, ME 04210-4096

Mailing address

30 Belgrade Ave Ste a
Auburn, ME 04210-4096
Phone (207) 783-0018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tackers@cmcc1.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN26644MEMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Conditioning Clinic, Inc Past Accepting new patients
Dba Central Maine Conditioning Clinic Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1639739139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE STE A",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104096",
            "telephone_number": "207-783-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE STE A",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104096",
            "telephone_number": "207-783-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "TAMMY",
        "middle_name": "ESTABROOK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "ME",
            "license": "RN26644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tackers@cmcc1.com",
            "affiliation": "N",
            "address_1": "30 Belgrade Ave Ste A",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042104096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.