Individual provider Active NPI

Tammy S Walbert, FNP-BC

  • Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1710986187
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R110410 Issued in MD
Practice address
145 E Carroll St
Salisbury, MD 21801
Phone
(302) 539-1026
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 LG-0000356 DE
Nurse Practitioner 363L00000X R110410 MD Primary

Addresses

Primary practice location

145 E Carroll St
Salisbury, MD 21801

Mailing address

100 E Carroll St
Attn: PRMG
Salisbury, MD 21801-5422
Phone (410) 543-7531

Other identifiers 3

IdentifierTypeStateIssuer
409710600OtherMDMEDICAID MARYLAND
1184832040OtherMDGROUP NPI
1000036982MedicaidDE

Other names 1

  • Tammy S Cahall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20040618000265 DE Practitioner - Nurse Practitioner 2264416957 Reassigns benefits to 3 organizations
I20130724000123 MD Practitioner - Nurse Practitioner 2264416957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ydiprmc, LLCGroup PAC ID 3173897402, 29 clinicians

Practice addresses (Care Compare)

Salisbury, MD 21804
Phone 41033463513022

2425 N Salisbury Blvd
Salisbury, MD 21801-2138
Phone (443) 944-0196

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC CurrentSince Nov 11, 2023 Accepting new patients
Ydiprmc LLC CurrentSince Jan 30, 2018 Accepting new patients
Sussex Emergency Associates LLC CurrentSince May 1, 2004 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Oct 23, 2022 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

30668 Sussex Hwy
Laurel, DE 19956
Phone (302) 251-8870

30549 Sussex Hwy
Laurel, DE 19956
Phone (302) 715-5214

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

30265 Commerce Dr
Unit 206
Millsboro, DE 19966
Phone (302) 732-8400

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

8163 Ocean Gtwy
Easton, MD 21601
Phone (410) 334-6351

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

31516 Winterplace Pkwy
Ste 103
Salisbury, MD 21804

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

327 Tilghman Rd
Ste 200
Salisbury, MD 21804
Phone (410) 334-6351

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1710986187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "address_2": "ATTN: PRMG",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7531",
            "fax_number": "410-912-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "302-539-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBERT",
        "first_name": "TAMMY",
        "middle_name": "S",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000356",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R110410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MARYLAND",
            "identifier": "409710600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184832040",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036982",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "CAHALL",
            "middle_name": "S",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.