Active NPI
Tammy a Willingham Loomis
- Family Nurse Practitioner
- Woodward, OK
National Provider Identifier
1851806103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TAMMY A WILLINGHAM LOOMIS
- Practice address
- 1220 7TH St
Woodward, OK 73801-3202 - Phone
- (580) 290-5112
- NPI assigned
- Dec 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tammy Ann Willingham Loomis, DNP, MSN APRN-CNP
- Title
- Owner
- Phone
- (580) 290-5112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1220 7TH St
Woodward, OK 73801-3202
Mailing address
1220 7TH St
Woodward, OK 73801-3202
Phone (580) 290-5112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20064079A | Medicaid | OK |
Other names 1
- Family Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2143259 | Family Care Center | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Woodward, OK
- NPI 1770937260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1851806103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 7TH ST",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738013202",
"telephone_number": "580-290-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 7TH ST",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738013202",
"telephone_number": "580-290-5112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMMY A WILLINGHAM LOOMIS",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-08",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "WILLINGHAM LOOMIS",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-290-5112",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DNP, MSN APRN-CNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20064079A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.