Individual provider Active NPI

Tammy Rogers, FNP-BC

  • Family Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1912619396
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33988 Issued in TN
Practice address
6711 Mountain View Rd Ste 115
Ooltewah, TN 37363-6667
Phone
(423) 541-7700
Fax
(423) 541-7702
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP001451 GA
Family Nurse Practitioner 363LF0000X 33988 TN Primary
Family Nurse Practitioner 363LF0000X 11023440 FL

Addresses

Primary practice location

6711 Mountain View Rd Ste 115
Ooltewah, TN 37363-6667

Mailing address

259 Covenant Dr NE
Cleveland, TN 37323-4443
Phone (304) 964-3951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240612003662 TN Practitioner - Nurse Practitioner 0345782777 Reassigns benefits to 1 organization
I20240715000801 GA Practitioner - Nurse Practitioner 0345782777

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Joint Regenerative Medicine PCGroup PAC ID 1759796600, 2 clinicians

Practice addresses (Care Compare)

6711 Mountain View Rd
Suite 115
Ooltewah, TN 37363-6667
Phone (423) 541-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33988TNMDPharmacist
11023440FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Regenerative Medicine PC CurrentSince Aug 20, 2024 Accepting new patients

Locations

6711 Mountain View Rd
Ste 115
Ooltewah, TN 37363
Phone (423) 238-1277

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1912619396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 COVENANT DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373234443",
            "telephone_number": "304-964-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 MOUNTAIN VIEW RD STE 115",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636667",
            "telephone_number": "423-541-7700",
            "fax_number": "423-541-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TAMMY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001451",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33988",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.