Active NPI
Tammy Estabrook Acker, RN
- Case Management Registered Nurse
- Auburn, ME
National Provider Identifier
1639739139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN26644
- Practice address
- 30 Belgrade Ave Ste a
Auburn, ME 04210-4096 - Phone
- (207) 783-0018
- NPI assigned
- Jun 17, 2019
- Last updated
- Jun 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN26644 | ME | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Auburn, ME
- NPI 1396971511
-
- Massage Therapist
- Auburn, ME
- NPI 1851880603
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.