Individual provider Active NPI

Tammy Diane Donnick

  • Primary Care Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1760120877
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11019886 Issued in FL
Practice address
2100 SE Ocean Blvd Ste 103
Stuart, FL 34996-3332
Phone
(772) 247-7856
Fax
(772) 247-7854
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11019886 FL Primary

Addresses

Primary practice location

2100 SE Ocean Blvd Ste 103
Stuart, FL 34996-3332

Mailing address

2100 SE Ocean Blvd Ste 103
Stuart, FL 34996-3332
Phone (772) 247-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220628002463 FL Practitioner - Nurse Practitioner 0941689517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Primary CareGroup PAC ID 0446152789, 10 clinicians

Practice addresses (Care Compare)

1715 37TH Place
2ND Floor
Vero BCH, FL 32960-4502
Phone (772) 794-2222

Hospital & facility affiliations

  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019886FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary J. Guzzardo, MD, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Indian River Primary Care CurrentSince Jun 17, 2022 Accepting new patients

Locations

2100 SE Ocean Blvd
Ste 103
Stuart, FL 34996
Phone (772) 247-7856

1715 37th Pl
Fl 2
Vero Beach, FL 32960
Phone (772) 567-4336

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAABA/Endpoint/CJAABA

Organizations & group practices 2

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1760120877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD STE 103",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-247-7856",
            "fax_number": "772-247-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD STE 103",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-247-7856",
            "fax_number": "772-247-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNICK",
        "first_name": "TAMMY",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11019886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.