Individual provider Active NPI

Tamara L Lincoln, APRN CNP

  • Adult Health Nurse Practitioner
  • Canal Fulton, OH
National Provider Identifier
1861471997
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CTP05311 Issued in OH
Practice address
944 Cherry St E
Canal Fulton, OH 44614-8669
Phone
(330) 854-4574
Fax
(330) 854-0829
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CTP05311 OH Primary

Addresses

Primary practice location

944 Cherry St E
Canal Fulton, OH 44614-8669

Mailing address

944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4574

Other practice location 1

6724 Wales Ave NW
Massillon, OH 44646-9006
Phone (330) 837-4264

Other identifiers 1

IdentifierTypeStateIssuer
2260619MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tamara.lincoln@chci.eclinicaldirectplus.com Community Health Care Inc.
Direct Messaging Address tamara.lincoln@chci.eclinicaldirectplus.com Community Health Care Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100215000019 OH Practitioner - Nurse Practitioner 5698819688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care Inc.Group PAC ID 1052207727, 65 clinicians

Practice addresses (Care Compare)

944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4574

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CTP05311OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Inc. CurrentSince Jan 1, 2002 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

6724 Wales Ave NW
Massillon, OH 44646
Phone (330) 837-4264

1193 Norton Ave
Ste A
Norton, OH 44203
Phone (330) 825-0847

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1861471997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 CHERRY ST E",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148669",
            "telephone_number": "330-854-4574",
            "fax_number": "330-854-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 CHERRY ST E",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148669",
            "telephone_number": "330-854-4574",
            "fax_number": "330-854-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6724 Wales Ave NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446469006",
            "country_code": "US",
            "telephone_number": "330-837-4264",
            "fax_number": "330-837-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "CTP05311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2260619",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamara.lincoln@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "address_1": "944 Cherry St E",
            "city": "Canal Fulton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446148669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamara.lincoln@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "address_1": "6724 Wales Ave NW",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446469006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

Verify at the official NPI Registry.