Individual provider Active NPI

Tami Jo Trea, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ferndale, MI
National Provider Identifier
1760132096
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704313223 Issued in MI
Practice address
1603 E 9 Mile Rd
Ferndale, MI 48220-2065
Phone
(248) 514-4955
Fax
(248) 282-4631
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 262538 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704313223 MI Primary

Addresses

Primary practice location

1603 E 9 Mile Rd
Ferndale, MI 48220-2065

Mailing address

1603 E 9 Mile Rd
Ferndale, MI 48220-2065
Phone (248) 514-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220608001966 MI Practitioner - Nurse Practitioner 2860870524 Reassigns benefits to 3 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
Emotional Advantage LLCGroup PAC ID 7719208842, 3 clinicians

Practice addresses (Care Compare)

1603 E 9 Mile Rd
Start My Wellness
Ferndale, MI 48220-2065
Phone (248) 514-4955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262538AZMDPsychiatric/Mental Health Nurse Practitioner
4704313223MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospital Inc CurrentSince Mar 28, 2022 Accepting new patients
Emotional Advantage LLC CurrentSince Apr 23, 2025 Accepting new patients
Saginaw Cooperative Hospitals, Inc Psychiatric/Mental Health CurrentSince Mar 28, 2022 Accepting new patients
Bay-Arenac Behavioral Health CurrentSince Jul 1, 2022 Accepting new patients

Locations

1010 N Madison Ave
Bay City, MI 48708
Phone (989) 895-2200

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

1603 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 514-4955

3201 Hallmark Ct
Saginaw, MI 48603
Phone (989) 790-5989

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

Organizations & group practices 4

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1760132096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202065",
            "telephone_number": "248-514-4955",
            "fax_number": "248-282-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202065",
            "telephone_number": "248-514-4955",
            "fax_number": "248-282-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREA",
        "first_name": "TAMI",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "262538",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704313223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.