Individual provider Active NPI

Tammy R. Melton, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1922037316
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012395 Issued in KY
Practice address
305 Morton Blvd
Hazard, KY 41701
Phone
(606) 435-0490
Fax
(606) 435-0490
NPI assigned
Jun 30, 2006
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012395 KY Primary

Addresses

Primary practice location

305 Morton Blvd
Hazard, KY 41701

Mailing address

130 Kate Ireland Dr
Hyden, KY 41749-9071

Other practice location 1

130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone (606) 275-2012

Other names 1

  • Tammy R . Howard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180730000355 KY Practitioner - Nurse Practitioner 4284981879 Reassigns benefits to 3 organizations
Practice locations: Hyden, KY; Barbourville, KY; West Liberty, KY; McDowell, KY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky River Community Care IncGroup PAC ID 3870481229, 31 clinicians

Practice addresses (Care Compare)

115 Rockwood LN
Hazard, KY 41701-9415
Phone 60643657617216

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012395KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky River Community Care, Inc Psychiatric/Mental Health CurrentSince Aug 16, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

115 Rockwood Ln
Hazard, KY 41701
Phone (800) 575-7223

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

305 Morton Blvd
Hazard, KY 41701
Phone (606) 435-1741

28 Fire House Ln
Hyden, KY 41749
Phone (606) 633-9964

Interoperability endpoints

  • Direct secure messaging: tammymelton@arh.medalliesdirect.net

Organizations & group practices 5

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 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1922037316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KATE IRELAND DR",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417499071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-435-0490",
            "fax_number": "606-435-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Kate Ireland Dr",
            "address_purpose": "LOCATION",
            "city": "Hyden",
            "state": "KY",
            "postal_code": "417499071",
            "country_code": "US",
            "telephone_number": "606-275-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "TAMMY",
        "middle_name": "R.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "HOWARD",
            "middle_name": "R .",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.