Tammy Lynn Treadway, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024187425 Issued in VA

Practice address

8130 Boone Blvd Ste 110
Vienna, VA 22182-2640

Phone

(703) 362-4260

NPI assigned

Jun 27, 2023

Last updated

Aug 6, 2023By the provider in NPPES

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

Enrolled in VA, DC, AZ3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26236/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: tammy.treadway.1@26236.direct.athenahealth.com
• Direct secure messaging: tammy.treadway.p1@direct.nacainc.nextgenshare.com

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

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Washington Internal Medicine LLC

  • Internal Medicine Physician
  • Chantilly, VA
  • NPI 1184244808

  DC

  Medicare reassignment NPD
• Native Americans for Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Flagstaff, AZ
  • NPI 1053326751
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Cavery Wellness of Woodbridge, LLC

  dba Medi-WeightLoss Woodbridge

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1831620251
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1699451187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822640",
            "telephone_number": "703-362-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinh Binh Tran, M.D., F.A.A.O.S.
• Transformation Plus, PLLC
• Transition Physical Therapy, LLC
• Karen B Tratensek, DDS
• Aiden Travers
• Treat Pro Massage,LLC
• Nathaniel D Trebach, DC
• Alexis Trevino
• Tria Dental LLC
• Abigail Riley Trinidad

• Family Nurse Practitioner in Vienna, VA
• Providers in Vienna, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; 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.