Individual provider Active NPI

Tammy Barre, APRN

  • Family Nurse Practitioner
  • Sacramento, KY
National Provider Identifier
1720617285
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014536 Issued in KY
Practice address
760 Main St
Sacramento, KY 42372-9405
Phone
(270) 736-2444
Fax
(270) 736-2442
NPI assigned
Apr 6, 2020
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014536 KY Primary

Addresses

Primary practice location

760 Main St
Sacramento, KY 42372-9405

Mailing address

760 Main St
Sacramento, KY 42372-9405
Phone (270) 736-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200519001014 KY Practitioner - Nurse Practitioner 8022449479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Feb 10, 2022 Accepting new patients
Regional Health Care Affiliates, Inc. CurrentSince Apr 22, 2023 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 10, 2022 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Apr 22, 2023 Accepting new patients
Jones Medical Corp CurrentSince May 17, 2021 Accepting new patients
West Kentucky Dermatology, PSC Past Accepting new patients

Locations

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

230 Madison Square Dr
Ste C
Madisonville, KY 42431
Phone (270) 821-6262

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

215 E Main St
#215
Providence, KY 42450

760 Main St
Sacramento, KY 42372
Phone (270) 736-2444

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1720617285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MAIN ST",
            "city": "SACRAMENTO",
            "state": "KY",
            "postal_code": "423729405",
            "telephone_number": "270-736-2444",
            "fax_number": "270-736-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MAIN ST",
            "city": "SACRAMENTO",
            "state": "KY",
            "postal_code": "423729405",
            "telephone_number": "270-736-2444",
            "fax_number": "270-736-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRE",
        "first_name": "TAMMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, KY

Sources for this page

Verify at the official NPI Registry.