Individual provider Active NPI

Tammi Noonan, DNP

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1740657287
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A108392 Issued in IA
Practice address
150 Mercy Dr
Dubuque, IA 52001-7301
Phone
(563) 584-3480
Fax
(563) 584-3481
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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 A108392 IA Primary

Addresses

Primary practice location

150 Mercy Dr
Dubuque, IA 52001-7301

Mailing address

150 Mercy Dr
Dubuque, IA 52001-7301
Phone (563) 584-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20150929002869 IA Practitioner - Nurse Practitioner 8022326701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

150 Mercy Dr
Dubuque, IA 52001-7301
Phone (563) 584-3480

Hospital & facility affiliations

  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
  • Guttenberg Municipal Hospital Hospital, Guttenberg, IA, CCN 161312
  • Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Clinic P C CurrentSince Sep 5, 2017 Accepting new patients

Locations

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

150 Mercy Dr
Dubuque, IA 52001
Phone (563) 584-3480

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1740657287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-584-3480",
            "fax_number": "563-584-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-584-3480",
            "fax_number": "563-584-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "TAMMI",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.