Individual provider Active NPI

Tameika Outlaw, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1639891971
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10987 Issued in CT
Practice address
521 Lancaster Ave
Richmond, KY 40475-3100
Phone
(859) 622-1000
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10987 CT Primary

Addresses

Primary practice location

521 Lancaster Ave
Richmond, KY 40475-3100

Mailing address

521 Lancaster Ave
Richmond, KY 40475-3100
Phone (850) 622-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20230406001534 CT Practitioner - Nurse Practitioner 6406221308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

25 Royal Crest Dr
Prospect, CT 06712-1486
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10987CTMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Feb 17, 2023 Accepting new patients

Locations

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1639891971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LANCASTER AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753100",
            "telephone_number": "850-622-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LANCASTER AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753100",
            "telephone_number": "859-622-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "TAMEIKA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.