Active NPI
Tamara D Millard, FNP
- Family Nurse Practitioner
- Holt, MI
National Provider Identifier
1902131915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704213580
- Practice address
- 1778 Holloway Dr Ste a
Holt, MI 48842-7725 - Phone
- (800) 694-6240
- NPI assigned
- Oct 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Family Nurse Practitioner | 363LF0000X | 4704213580 | MI | Primary |
Addresses
Primary practice location
1778 Holloway Dr Ste a
Holt, MI 48842-7725
Mailing address
1715 S Centerville Rd
Sturgis, MI 49091-8732
Phone (269) 625-4972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704213580 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt St. Joe, Inc | Past | Accepting new patients | |
| NDS Radiology Inc. | Past | Accepting new patients | |
| NDS Radiology PLLC | Past | Accepting new patients |
Interoperability endpoints
- tamara.millard@ihci.eclinicaldirectplus.com
- ms_tmillard@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Sturgis, MI
- NPI 1316119506
-
dba National Diagnostic Services
- Diagnostic Radiology Physician
- Novi, MI
- NPI 1649418211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1902131915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 S CENTERVILLE RD",
"city": "STURGIS",
"state": "MI",
"postal_code": "490918732",
"telephone_number": "269-625-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1778 HOLLOWAY DR STE A",
"city": "HOLT",
"state": "MI",
"postal_code": "488427725",
"telephone_number": "800-694-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARD",
"first_name": "TAMARA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704213580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.