Individual provider Active NPI

Tamara Yvette Spence, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1841853223
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704260806 Issued in MI
Practice address
6050 Greenfield Rd Ste 101
Dearborn, MI 48126-6004
Phone
(313) 945-9000
Fax
(313) 945-7500
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 4704260806 MI
Acute Care Nurse Practitioner 363LA2100X 4704260806 MI Primary

Addresses

Primary practice location

6050 Greenfield Rd Ste 101
Dearborn, MI 48126-6004

Mailing address

43072 N Cumberland Dr
Van Buren TWP, MI 48111-2385
Phone (248) 747-2210

Other names 1

  • Ms. Tamara Yvette Smith Former name

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
I20210122002441 MI Practitioner - Nurse Practitioner 6002220670 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Jan 21, 2021 Accepting new patients
Henry Ford Health System CurrentSince Jan 21, 2021 Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

Interoperability endpoints

  • Direct secure messaging: tsmith7755@direct.hfhs.org

Organizations & group practices 3

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": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1841853223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43072 N CUMBERLAND DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481112385",
            "telephone_number": "248-747-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "313-945-9000",
            "fax_number": "313-945-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "TAMARA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704260806",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704260806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SMITH",
            "middle_name": "YVETTE",
            "prefix": "MS.",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.