Tammy Lee Thacker

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

3418407 Issued in NC

Practice address

2327 Englert Dr Ste 101
Durham, NC 27713-4447

Phone

(919) 572-2978

NPI assigned

Jun 16, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aryzen Health & Wellness Inc.

  • Home Health Agency
  • Durham, NC
  • NPI 1861555633
  NPD (past) Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1679733232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 ENGLERT DR STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134447",
            "telephone_number": "919-572-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 ENGLERT DR STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134447",
            "telephone_number": "919-572-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "3418407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418407",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Tew, MD
• Amanda Leigh Tewell, LPCA
• Dolphus Allen Thacker III, DC
• Julie Kay Marosky Thacker, M.D.
• Melisa Rebecca Thacker, FNP-BC
• Joshua Thomas Thaden, M.D./PH.D.
• Swetal Thaker, OTR/L
• Mugdha Thakur, M.D.
• Khoi Duc Than, MD
• Kanika Thapar, MD

• Home Health Aide in Durham, NC
• Providers in Durham, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.