NPIMap

Individual provider Active NPI

Tammy Sue Burton, NP-BC

  • Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1912339292
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.18341-NP Issued in OH
Practice address
600 18TH St Ste 512
Parkersburg, WV 26101-3236
Phone
(304) 424-4574
NPI assigned
Aug 8, 2013
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.18341-NP OH Primary
Family Nurse Practitioner 363LF0000X APRN42951-FNP-BC WV

Addresses

Primary practice location

600 18TH St Ste 512
Parkersburg, WV 26101-3236

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other practice location 1

400 Matthew St
Suite 302
Marietta, OH 45750-1644
Phone (740) 568-5207

Other identifiers 3

IdentifierTypeStateIssuer
3810027316MedicaidWV
P01604255OtherOHRAILROAD MEDICARE - MHCPI
0148929MedicaidOH

Other names 1

  • Tammy Judy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tburton116584@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318000947 WV Practitioner - Nurse Practitioner 4385875202 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1013 Garfield Ave
Parkersburg, WV 26101-4637
Phone (304) 424-4574

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18341-NPOHMDNurse Practitioner
APRN42951-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Jan 20, 2026 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Community Health Association CurrentSince Jan 20, 2026 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jan 1, 2018 Accepting new patients
Matrix Medical Network of West Nurse Practitioner CurrentSince Feb 1, 2018 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

209 Washington St W
Charleston, WV 25302
Phone 24852821166

1013 Garfield Ave
Parkersburg, WV 26101
Phone (304) 424-4574

600 18th St
Ste 512
Parkersburg, WV 26101
Phone (304) 424-4574

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

186 Pinnell St
Ripley, WV 25271
Phone (304) 373-1546

Organizations & group practices 6

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 7

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1912339292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH ST STE 512",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013236",
            "telephone_number": "304-424-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Matthew St",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501644",
            "country_code": "US",
            "telephone_number": "740-568-5207",
            "fax_number": "740-568-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.18341-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN42951-FNP-BC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027316",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01604255",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148929",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tburton116584@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1013 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261014637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "JUDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.