Active NPI
Tammie F Brodie, ANP-BC
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1669601670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304968
- Practice address
- 420 Lexington Ave
Suite 1644
New York, NY 10170-0002 - Phone
- (212) 861-3313
- NPI assigned
- Jul 11, 2009
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304968 | NY | Primary |
Addresses
Primary practice location
420 Lexington Ave
Suite 1644
New York, NY 10170-0002
Mailing address
PO Box 401
Woodbridge, NJ 07095-0401
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304968 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1669601670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070950401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LEXINGTON AVE",
"address_2": "SUITE 1644",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101700002",
"telephone_number": "212-861-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODIE",
"first_name": "TAMMIE",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-11",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.