Individual provider Active NPI

Tamara R. Love, NP

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1740437680
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005299 Issued in NC
Practice address
1413 Greenway CT
Sanford, NC 27330-6954
Phone
(919) 292-1201
Fax
(919) 292-1205
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 160167 GA
Family Nurse Practitioner 363LF0000X 5005299 NC Primary

Addresses

Primary practice location

1413 Greenway CT
Sanford, NC 27330-6954

Mailing address

205 Page Rd
Pinehurst, NC 28374-8798
Phone (910) 295-5511

Other practice location 1

1413 Greenway Ct
Sanford, NC 27330-6954
Phone (919) 292-1201

Other identifiers 3

IdentifierTypeStateIssuer
7005066MedicaidNC
FH4001260OtherNCFIRST MEDICARE DIRECT
FH4001260OtherNCFIRST CAROLINA CARE, INC

Other names 1

  • Miss Tamara R. Zulewski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, TX, NY, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20081007000150 GA Practitioner - Nurse Practitioner 6800964685 Reassigns benefits to 1 organization
I20111019000078 NC Practitioner - Nurse Practitioner 6800964685 Reassigns benefits to 1 organization
I20250109001123 TX Practitioner - Nurse Practitioner 6800964685 Reassigns benefits to 1 organization
I20250929000175 NY Practitioner - Nurse Practitioner 6800964685 Reassigns benefits to 1 organization
I20260228000323 VA Practitioner - Nurse Practitioner 6800964685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sliiip Medical Group P aGroup PAC ID 8426469826, 14 clinicians

Practice addresses (Care Compare)

136 Madison Ave
FL 6
New York, NY 10016-6795
Phone (478) 238-3552

212 Ga Hwy 49 N
Suite 1900
Byron, GA 31008-4059
Phone (478) 238-3552

212 Hwy 49 N
Suite 1900
Byron, GA 31008-4059

3511 Shannon Rd
Ofc 350
Durham, NC 27707-6330
Phone (478) 238-3552

410 Rosedale CT
Suite 170
Warrenton, VA 20186-4373
Phone (478) 238-3552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160167GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Sep 12, 2011 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Sep 12, 2011 Accepting new patients
Sliiip Medical Group P a CurrentSince Nov 12, 2024 Accepting new patients
Georgia Cancer Specialists I, PC Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

10400 Old Alabama Road Connector
Ste 4
Alpharetta, GA 30022

212 GA Highway 49 N
Ste 1900
Byron, GA 31008

3511 Shannon Rd
Ofc 350
Durham, NC 27707

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

1413 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1201

136 Madison Ave
Fl 6
New York, NY 10016
Phone (917) 582-6622

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

410 Rosedale Ct
Ste 170
Warrenton, VA 20186
Phone (540) 351-0170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1740437680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306954",
            "telephone_number": "919-292-1201",
            "fax_number": "919-292-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Greenway Ct",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306954",
            "country_code": "US",
            "telephone_number": "919-292-1201",
            "fax_number": "919-292-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "TAMARA",
        "middle_name": "R.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "160167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005066",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICARE DIRECT",
            "identifier": "FH4001260",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE, INC",
            "identifier": "FH4001260",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "ZULEWSKI",
            "middle_name": "R.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.