Melody L Tillman, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN0000037848 Issued in TN

Practice address

157 N Bells St
Alamo, TN 38001-1767

Phone

(731) 696-5551

Fax

(731) 696-2802

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alamo Family Medicine

  • Clinic/Center
  • Alamo, TN
  • NPI 1033271812
  NPD (past)
• Jackson Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679695993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011767",
            "telephone_number": "731-696-5551",
            "fax_number": "731-696-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011767",
            "telephone_number": "731-696-5551",
            "fax_number": "731-696-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MELODY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN0000037848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Small Town Pharmacy, LLC
• Kylie Brown Smith, APN
• State of Tennessee
• Tera Stephens
• Linda F Taylor
• Wade Harvest Ministries
• Abbie Caroline Ward
• Christy L. Ward, FNP
• Lisa Phillips Ward, APN
• Karen B Webb, FNP

• Nurse Practitioner in Alamo, TN
• Providers in Alamo, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.