Individual provider Active NPI

Tammy L Ratliff

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1639838691
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1022190 Issued in TX
Practice address
808 S Shary Rd
Mission, TX 78572-8568
Phone
(956) 205-5278
NPI assigned
Dec 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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 1022190 TX Primary

Addresses

Primary practice location

808 S Shary Rd
Mission, TX 78572-8568

Mailing address

808 S Shary Rd
Mission, TX 78572-8568
Phone (956) 205-5278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250303001667 NM Practitioner - Nurse Practitioner 7214458694 Reassigns benefits to 1 organization
I20250912002341 ME Practitioner - Nurse Practitioner 7214458694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

1474 Main St
Sanford, ME 04073-2426
Phone (207) 608-8425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022190TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Feb 12, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 12, 2025 Accepting new patients
York Hospital CurrentSince Jun 29, 2025 Accepting new patients

Locations

1474 Main St
Sanford, ME 04073
Phone (207) 608-8425

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

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

Hospital & facility affiliations 1

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1639838691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S SHARY RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728568",
            "telephone_number": "956-205-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S SHARY RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728568",
            "telephone_number": "956-205-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "TAMMY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1022190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.