Individual provider Active NPI

Tammy Lightner, NP

  • Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1700854932
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001991A Issued in IN
Practice address
1500 West Neely Ave
Muncie, IN 47306-0001
Phone
(765) 285-8431
Fax
(765) 285-1103
NPI assigned
Mar 14, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001991A IN Primary

Addresses

Primary practice location

1500 West Neely Ave
Muncie, IN 47306-0001

Mailing address

1500 West Neely Ave
Muncie, IN 47306-0001
Phone (765) 285-8431

Other identifiers 1

IdentifierTypeStateIssuer
200541600MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000154 IN Practitioner - Nurse Practitioner 1052331220 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001991AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp CurrentSince Nov 1, 2014 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince May 1, 2015 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Nurse Practitioner CurrentSince May 1, 2015 Accepting new patients
Meridian Health Services Corp. CurrentSince Nov 1, 2014 Accepting new patients
Meridian Health Services Corp Current Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

130 N Tillotson Ave
Muncie, IN 47304
Phone (765) 288-3770

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

240 N Tillotson Ave
Muncie, IN 47304

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822

2525 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 289-5420

800 S Tillotson Ave
Muncie, IN 47304
Phone (765) 289-5410

Interoperability endpoints

  • Direct secure messaging: tllightner@direct.iuhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1700854932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WEST NEELY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060001",
            "telephone_number": "765-285-8431",
            "fax_number": "765-285-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WEST NEELY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060001",
            "telephone_number": "765-285-8431",
            "fax_number": "765-285-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "TAMMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001991A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200541600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.