Individual provider Active NPI

Tammy Whitehead, APRN

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1780193524
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135447 Issued in TX
Practice address
2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968
Phone
(512) 345-8970
Fax
(855) 220-9655
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 AP135447 TX Primary

Addresses

Primary practice location

2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968

Mailing address

2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968
Phone (512) 345-8970

Other practice location 1

205 S Pierce St Ste 2
Burnet, TX 78611-3112
Phone (512) 345-3026

Other names 1

  • Tammy Armentrout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180307000852 TX Practitioner - Nurse Practitioner 6800157819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians

Practice addresses (Care Compare)

205 S Pierce St
Suite 2 and 3
Burnet, TX 78611-3112
Phone (512) 345-3026

Hospital & facility affiliations

  • Ascension Seton Highland Lakes Hospital, Burnet, TX, CCN 451365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135447TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiseman Family Practice PLLC CurrentSince Sep 23, 2024 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

205 S Pierce St
Ste 2
Burnet, TX 78611
Phone (512) 345-3026

2500 S Lakeline Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 345-8970

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 1

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1780193524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970",
            "fax_number": "855-220-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970",
            "fax_number": "855-220-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Pierce St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Burnet",
            "state": "TX",
            "postal_code": "786113112",
            "country_code": "US",
            "telephone_number": "512-345-3026",
            "fax_number": "855-220-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "TAMMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "ARMENTROUT",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.