Active NPI
Tammy Halter, LPN
- Licensed Practical Nurse
- Suffern, NY
National Provider Identifier
1831435320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 272808
- Practice address
- 99 Washington Ave
Suffern, NY 10901-6026 - Phone
- (845) 357-4500
- Fax
- (845) 357-5039
- NPI assigned
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 272808 | NY | Primary |
Addresses
Primary practice location
99 Washington Ave
Suffern, NY 10901-6026
Mailing address
58 Steges Rd
Highland Lake, NY 12743-5000
Phone (845) 557-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272808 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1831435320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 STEGES RD",
"city": "HIGHLAND LAKE",
"state": "NY",
"postal_code": "127435000",
"telephone_number": "845-557-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WASHINGTON AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109016026",
"telephone_number": "845-357-4500",
"fax_number": "845-357-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTER",
"first_name": "TAMMY",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "272808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.