Active NPI
Tammy B Harris, ARNP
- Nurse Practitioner
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3673P
- Practice address
- 67 Kingswood Dr
Suite 95
Campbellsville, KY 42718-9647 - Phone
- (270) 465-3812
- Fax
- (270) 465-8352
- NPI assigned
- Dec 18, 2006
- Last updated
- Jan 19, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3673P | KY | Primary |
Addresses
Primary practice location
67 Kingswood Dr
Suite 95
Campbellsville, KY 42718-9647
Mailing address
67 Kingswood Dr
Suite 95
Campbellsville, KY 42718-9647
Phone (270) 465-3812
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50002936 | Other | KY | PASSPORT |
| 78007051 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
95 Kingswood Dr
Campbellsville, KY 42718-9604
Phone (270) 465-3812
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.96 of 100
- Quality
- 62.41
- Promoting interoperability
- 69
- Improvement activities
- 40
- Cost
- 71.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3673P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Regional Medical Group LLC | Current | Accepting new patients | |
| Taylor Regional Medical Group, LLC | Current | Accepting new patients | |
| University Surgical Associates, PSC | Nurse Practitioner | Past | Accepting new patients |
Locations
67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116
95 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-3812
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.
-
dba Taylor Regional Hospital Care Center
- Family Medicine Physician
- Campbellsville, KY
- NPI 1699030031
-
dba Taylor Regional Hospital Health Clinic
- Rural Health Clinic/Center
- Campbellsville, KY
- NPI 1073370185
-
- Surgery Physician
- Louisville, KY
- NPI 1609847367
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Campbellsville, KY
- NPI 1689761942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1659434280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 KINGSWOOD DR",
"address_2": "SUITE 95",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189647",
"telephone_number": "270-465-3812",
"fax_number": "270-465-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 KINGSWOOD DR",
"address_2": "SUITE 95",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189647",
"telephone_number": "270-465-3812",
"fax_number": "270-465-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TAMMY",
"middle_name": "B",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3673P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50002936",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78007051",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.