Individual provider Active NPI

Tamaria Katrina Featherlin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wrightsville, PA
National Provider Identifier
1750975405
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP026010 Issued in PA
Practice address
1166 Hilts Rd
Wrightsville, PA 17368-9205
Phone
(888) 852-6672
Fax
(305) 891-4228
NPI assigned
Feb 23, 2021
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024183018 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP026010 PA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001165732 VA

Addresses

Primary practice location

1166 Hilts Rd
Wrightsville, PA 17368-9205

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

75 Main St.
Suite A
Mathews, VA 23109-2310
Phone (804) 725-3041

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mathews Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220120000937 VA Practitioner - Nurse Practitioner 4082006267
I20240607002938 TX Practitioner - Nurse Practitioner 4082006267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001165732VAMDPsychiatric/Mental Health Registered Nurse
SP026010PAMDPsychiatric/Mental Health Nurse Practitioner
0024183018VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Apr 7, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 7, 2024 Accepting new patients
The Changing Tide Body Mind & Spirit PC Dba I Choose Life Inc. Psychiatric/Mental Health PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 3

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1750975405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 HILTS RD",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173689205",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Main St.",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Mathews",
            "state": "VA",
            "postal_code": "231092310",
            "country_code": "US",
            "telephone_number": "804-725-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEATHERLIN",
        "first_name": "TAMARIA",
        "middle_name": "KATRINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183018",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026010",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001165732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mathews",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mathews",
            "address_1": "75 Main St.",
            "address_2": "Suite A",
            "city": "Mathews",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231092310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wrightsville, PA

Sources for this page

Verify at the official NPI Registry.