Individual provider Active NPI

Tamra Casper, ANP-C

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1659531853
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000026181 Issued in TN
Practice address
851 S Willow Ave Ste 108
Cookeville, TN 38501-4223
Phone
(931) 284-4060
NPI assigned
Jun 11, 2008
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000026181 TN Primary

Addresses

Primary practice location

851 S Willow Ave Ste 108
Cookeville, TN 38501-4223

Mailing address

851 S Willow Ave Ste 108
Cookeville, TN 38501-4223
Phone (931) 284-4060

Other practice location 1

105 Carnegie Pl
Ste 103
Fayetteville, GA 30214-3980
Phone (770) 716-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100810000254 GA Practitioner - Nurse Practitioner 8729112925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000026181TNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1659531853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S WILLOW AVE STE 108",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014223",
            "telephone_number": "931-284-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S WILLOW AVE STE 108",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014223",
            "telephone_number": "931-284-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Carnegie Pl",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302143980",
            "country_code": "US",
            "telephone_number": "770-716-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASPER",
        "first_name": "TAMRA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000026181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.