Individual provider Active NPI

Pamela Jean Tank-Dillingham, APRN, CNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1760934483
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5008740 Issued in NC
Practice address
17 Audubon Dr
Asheville, NC 28804-1201
Phone
(828) 222-0280
Fax
(828) 800-9580
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0137808 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 109634 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 205756 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.011217 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010280 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G183913 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-84240-101 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3016217 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC004089 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2361086 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 085572-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405762-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03601 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP002904 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5008740 NC Primary

Addresses

Primary practice location

17 Audubon Dr
Asheville, NC 28804-1201

Mailing address

17 Audubon Dr
Asheville, NC 28804-1201
Phone (828) 222-0280

Other practice location 1

141 Parker St Ste 306
Maynard, MA 01754-2180
Phone (866) 991-2103

Other practice location 2

3 Bethesda Metro Ctr Ste 700
Bethesda, MD 20814-6300
Phone (646) 687-9932

Other practice location 3

60 Madison Ave Fl 2
New York, NY 10010-1600
Phone (855) 629-0554

Other identifiers 19

IdentifierTypeStateIssuer
CP002904OtherSDBOARD OF NURSING APRN
MCS007586BOtherMARX AUTH
109634OtherWVBOARD OF NURSING APRN
9543OtherWVRX AUTH
3146OtherWYRX AUTH
12.011217OtherCTBOARD OF NURSING APRN
5008740OtherNCBOARD OF NURSING APRN
RN2361086OtherMABOARD OF NURSING APRN
APRN03601OtherRIBOARD OF NURSING APRN
L8-0010280OtherDEBOARD OF NURSING APRN
205756OtherAKBOARD OF NURSING APRN
F405762-01OtherNYBOARD OF NURSING APRN
101.0137808OtherVTBOARD OF NURSING APRN
52604OtherWYBOARD OF NURSING APRN
53-84240-101OtherKSBOARD OF NURSING APRN
G183913OtherIABOARD OF NURSING APRN
085572-23OtherNHBOARD OF NURSING APRN
3016217OtherKYBOARD OF NURSING APRN
AC004089OtherMDBOARD OF NURSING APRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY, NH, DE, NY, DC, CO, KS, CT, MA, IA, WA, AK, VT, RI15 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 15

Enrollment IDStateProvider typePAC IDDetails
I20161214002460 NC Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20210617002775 KY Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20210721003498 NH Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20211221000039 DE Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20250814003823 NY Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20250825004302 DC Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20250825004316 CO Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20250827002838 KS Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20250827004750 CT Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20250827004791 MA Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20251021004156 IA Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20260217003337 WA Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20260225003389 AK Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20260407000229 VT Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization
I20260413000907 RI Practitioner - Nurse Practitioner 6204116932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205756AKMDPsychiatric/Mental Health Nurse Practitioner
G183913IAMDPsychiatric/Mental Health Nurse Practitioner
5008740NCMDPsychiatric/Mental Health Nurse Practitioner
F405762-01NYMDPsychiatric/Mental Health Nurse Practitioner
APRN03601RIMDPsychiatric/Mental Health Nurse Practitioner
CP002904SDMDPsychiatric/Mental Health Nurse Practitioner
101.0137808VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Dec 1, 2018 Accepting new patients
Grow Healthcare Group of Kansas PA Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 15, 2025 Accepting new patients
Pursuecare New Jersey PC Psychiatric/Mental Health Past Accepting new patients

Locations

721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

3 Bethesda Metro Ctr
Ste 700
Bethesda, MD 20814
Phone (240) 292-8319

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1760934483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
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            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041201",
            "telephone_number": "828-222-0280",
            "fax_number": "828-800-9580"
        },
        {
            "country_code": "US",
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            "fax_number": "828-800-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Parker St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Maynard",
            "state": "MA",
            "postal_code": "017542180",
            "country_code": "US",
            "telephone_number": "866-991-2103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Bethesda Metro Ctr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208146300",
            "country_code": "US",
            "telephone_number": "646-687-9932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Madison Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100101600",
            "country_code": "US",
            "telephone_number": "855-629-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANK-DILLINGHAM",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "APRN, CNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
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        {
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    ],
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        {
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        {
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        },
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        },
        {
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        },
        {
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            "desc": "Other (non-Medicare)",
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        },
        {
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            "desc": "Other (non-Medicare)",
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            "identifier": "F405762-01",
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        },
        {
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING APRN",
            "identifier": "52604",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING APRN",
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        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING APRN",
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            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING APRN",
            "identifier": "085572-23",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING APRN",
            "identifier": "3016217",
            "state": "KY"
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING APRN",
            "identifier": "AC004089",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.