Tammy Justice, OFFICE MANAGER

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN097247L Issued in PA

Practice address

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413

Phone

(814) 643-6300

NPI assigned

Jul 26, 2016

Reactivated

Apr 26, 2022

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

Locations

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.

• Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
  • NPI 1457488298
  NPD
• Integrated Behavioral Healthcare Management Services, Inc.

  • Clinic/Center
  • Huntingdon, PA
  • NPI 1598874414
  NPD

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1689127615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "TAMMY",
        "credential": "OFFICE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "deactivation_date": "2019-05-29",
        "reactivation_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN097247L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740463470",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Jefferson, MSW, LCSW
• Carol Thomas Jenkins, LSW
• Jennifer L Hartey PSYD LLC
• Martha A Jessell
• Mauranda Dawn Justice
• Zouheir Kabbara
• Lynn E Kagarise, M.S.
• Joelle B Kaminsky, PHARMD
• Angela M Kattouf, PAC
• Elizabeth Ann Kauruter, RDN, LDN

• Licensed Practical Nurse in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.