Individual provider Active NPI

Tammy Grove Hamilton, DNP,BC

  • Family Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1801975248
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33330 Issued in WV
Practice address
1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864
Phone
(304) 267-9355
Fax
(304) 267-9358
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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 33330 WV Primary

Addresses

Primary practice location

1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864

Mailing address

1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864
Phone (304) 267-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20080602000276 WV Practitioner - Nurse Practitioner 4183794282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33330WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

1000 Tavern Rd
Ste 100
Martinsburg, WV 25401
Phone (304) 267-9355

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1801975248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TAMMY",
        "middle_name": "GROVE",
        "name_prefix": "Mrs.",
        "credential": "DNP,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "33330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.