Active NPI
Tammy Lorraine Vautaw
- Home Health Agency
- Elwood, IN
National Provider Identifier
1669017356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 807 S 16TH St
Elwood, IN 46036-2406 - Phone
- (765) 717-6181
- Fax
- (765) 557-7153
- NPI assigned
- Nov 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | IN | ||
| Respite Care | 385H00000X | IN | ||
| Home Health Agency | 251E00000X | IN | Primary |
Addresses
Primary practice location
807 S 16TH St
Elwood, IN 46036-2406
Mailing address
807 S 16TH St
Elwood, IN 46036-2406
Phone (765) 717-6181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573948800000",
"number": "1669017356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 S 16TH ST",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460362406",
"telephone_number": "765-717-6181",
"fax_number": "765-557-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S 16TH ST",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460362406",
"telephone_number": "765-717-6181",
"fax_number": "765-557-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUTAW",
"first_name": "TAMMY",
"middle_name": "LORRAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-17",
"last_updated": "2019-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.