Tammy Sue Kauffman, EMT/PHLEBOTOMIST

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

511592 Issued in MI

Practice address

2751 E Mullett Lake Rd
Indian River, MI 49749-9181

Phone

(231) 818-5344

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1649866443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 E MULLETT LAKE RD",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499181",
            "telephone_number": "231-818-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 E MULLETT LAKE RD",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499181",
            "telephone_number": "231-818-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "EMT/PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "511592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian River Village Pharmacy Inc
• Jann la Dere MSW LLC
• Kane RX Inc (Modern Rx)
• Kerri Anne Katona, PA-C
• Michael D Katona, NP
• Robert Clair Kenny, DC
• Jeffrey Jay Kiel, DO
• Seth William King, BCHHP
• Katherine Klose, DPT
• Julie Kolly

• Basic Emergency Medical Technician in Indian River, MI
• Providers in Indian River, MI by specialty
• Basic Emergency Medical Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.