Active NPI
Tammy Waits Stimson, NP
- Nurse Practitioner
- Pollocksville, NC
National Provider Identifier
1851385025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201079
- Practice address
- 137 Medical LN
Pollocksville, NC 28573 - Phone
- (252) 633-1010
- Fax
- (252) 224-3071
- NPI assigned
- Sep 2, 2005
- Last updated
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201079 | NC | Primary |
Addresses
Primary practice location
137 Medical LN
Pollocksville, NC 28573
Mailing address
PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 633-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11729 | Other | NC | BLUE CROSS |
| 8911729 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1851385025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285730068",
"telephone_number": "252-633-1010",
"fax_number": "252-224-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MEDICAL LN",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "28573",
"telephone_number": "252-633-1010",
"fax_number": "252-224-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMSON",
"first_name": "TAMMY",
"middle_name": "WAITS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "201079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "11729",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911729",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pollocksville, NC
- Jonathan Rivera Diaz, MD
- Terrence Simmons
- Rommel Soriano
- Colleen Marie Stack, MD
- Stanley Robert Stevens Jr., NP-C
- Elizabeth Rebecca Stott, PA
- Supernatural Transportation Service Inc.
- Tar Heel Health Care Services, LLC (CenterWell Home Health)
- James Graham Underhill, DPM
- Russell Raymond Wilford Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.