Individual provider Active NPI

Tammy Lynn Underwood, FNP-C

  • Family Medicine Physician
  • Claysville, PA
National Provider Identifier
1902587405
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP027909 Issued in PA
Practice address
1263 Route 40 W
Claysville, PA 15323-1277
Phone
(724) 663-7731
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP027909 PA Primary

Addresses

Primary practice location

1263 Route 40 W
Claysville, PA 15323-1277

Mailing address

144 Stonegate Dr
Canonsburg, PA 15317-2765
Phone (412) 848-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230930000284 PA Practitioner - Nurse Practitioner 6800240474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1263 Route 40 W
Claysville, PA 15323-1277
Phone (724) 663-7731

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP027909PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Family Medicine Current Accepting new patients
Claysville Family Practice Inc Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Preferred Primary Care Physicians CurrentSince Apr 1, 2024 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1263 State Route 40 W
Claysville, PA 15323
Phone (724) 663-7731

4000 Waterdam Plaza Dr
Ste 280
McMurray, PA 15317
Phone (724) 260-0830

Interoperability endpoints

  • Direct secure messaging: tammyunderwoodfnp@preferred.medentdirect.com

Organizations & group practices 4

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 2

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1902587405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STONEGATE DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172765",
            "telephone_number": "412-848-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 ROUTE 40 W",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153231277",
            "telephone_number": "724-663-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP027909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claysville, PA

Sources for this page

Verify at the official NPI Registry.