Individual provider Active NPI

Tammy Jo Maloney, F.N.P.

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1689617102
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164344 Issued in VA
Practice address
600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904
Phone
(757) 388-6115
Fax
(757) 275-9998
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024164344 VA
Family Nurse Practitioner 363LF0000X 0024164344 VA Primary

Addresses

Primary practice location

600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904

Mailing address

600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904
Phone (757) 388-6115

Other practice location 1

109 Wimbledon SQ G1
Chesapeake, VA 23320-4945
Phone (757) 965-9465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090216000368 VA Practitioner - Nurse Practitioner 0749345379 Reassigns benefits to 2 organizations
I20200227000683 NC Practitioner - Nurse Practitioner 0749345379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

5460 Wesleyan Dr
Virginia Beach, VA 23455-6906
Phone (757) 252-3050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jul 9, 2018 Accepting new patients
Tidewater Medical Care PC CurrentSince Oct 5, 2015 Accepting new patients
Integrated Medical Services PLC Past Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

213 River Walk Pkwy
Chesapeake, VA 23320
Phone (757) 983-1765

109 Wimbledon Sq
Ste G1
Chesapeake, VA 23320
Phone (757) 965-9465

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

600 Gresham Dr
Ste 8630B
Norfolk, VA 23507
Phone (757) 338-6115

3330 Pacific Ave
Ste 200
Virginia Beach, VA 23451
Phone (757) 965-9465

1975 Glenn Mitchell Dr
Ste 302
Virginia Beach, VA 23456
Phone (757) 481-2515

1008 First Colonial Rd
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-2515

2101 Parks Ave
Ste 305
Virginia Beach, VA 23451
Phone (757) 749-2308

5460 Wesleyan Dr
Virginia Beach, VA 23455
Phone (757) 252-3050

Interoperability endpoints

  • Direct secure messaging: tmaloney31882@direct.sentara.net

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1689617102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8630B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-6115",
            "fax_number": "757-275-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8630B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-6115",
            "fax_number": "757-275-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 WIMBLEDON SQ G1",
            "address_purpose": "LOCATION",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204945",
            "country_code": "US",
            "telephone_number": "757-965-9465",
            "fax_number": "757-965-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "TAMMY",
        "middle_name": "JO",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.