Individual provider Active NPI

Tammy Holcomb, NP

  • Family Nurse Practitioner
  • Newbern, TN
National Provider Identifier
1891701710
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
148405 Issued in TN
Practice address
625 W Main St
Newbern, TN 38059-1572
Phone
(731) 627-0700
Fax
(731) 627-2200
NPI assigned
Jul 31, 2006
Last updated
Feb 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 148405 TN Primary

Addresses

Primary practice location

625 W Main St
Newbern, TN 38059-1572

Mailing address

625 W Main St
Newbern, TN 38059-1572
Phone (731) 627-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060411000688 TN Practitioner - Nurse Practitioner 1557370061 Practice locations: Newbern, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

625 W Main St
Newbern, TN 38059-1572
Phone (731) 627-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11719TNMDDentist
148405TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Care Clinic CurrentSince Nov 29, 2010 Accepting new patients

Locations

625 W Main St
Newbern, TN 38059
Phone (731) 627-0700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1891701710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591572",
            "telephone_number": "731-627-0700",
            "fax_number": "731-627-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591572",
            "telephone_number": "731-627-0700",
            "fax_number": "731-627-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "TAMMY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "148405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbern, TN

Sources for this page

Verify at the official NPI Registry.