Tammara S Benjamin, CPNP-PC

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

1-154412 Issued in AL

Practice address

156 Church Ave
New Hope, AL 35760-9508

Phone

(256) 723-4673

NPI assigned

Nov 7, 2021

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1841955598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 LAUREL COVE WAY",
            "city": "GURLEY",
            "state": "AL",
            "postal_code": "35748",
            "telephone_number": "256-323-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CHURCH AVE",
            "city": "NEW HOPE",
            "state": "AL",
            "postal_code": "357609508",
            "telephone_number": "256-723-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "TAMMARA",
        "middle_name": "S",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-154412",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AL",
            "license": "1-154412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Camille Brooks, RD
• Stephanie Frank Carter, FNP
• Bailey Martin Fast, RDN
• GNH Inc (New Hope Family Pharmacy)
• Henderson and Darnell Associates

• Pediatric Registered Nurse in New Hope, AL
• Providers in New Hope, AL by specialty
• Pediatric Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.