Tammie Renee Hacker, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010683 Issued in KY

Practice address

56 Marie Langdon Dr
Manchester, KY 40962-6329

Phone

(606) 599-4080

NPI assigned

Nov 29, 2016

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thacker659352@adventhealth.direct-ci.com

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.

• Advanced Family Medical Clinic Liberty

  • Rural Health Clinic/Center
  • Liberty, KY
  • NPI 1023545241
  Medicare reassignment NPD
• Memorial Hospital Inc.

  dba AdventHealth Manchester

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827

  Family

  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba AdventHealth Red Bird Clinic

  • Rural Health Clinic/Center
  • Beverly, KY
  • NPI 1558665752
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  dba Physician Services of Memorial Hospital

  • Specialist
  • Manchester, KY
  • NPI 1831150119

  Family

  Medicare reassignment NPD
• London Women's Care, LLC

  • Obstetrics & Gynecology Physician
  • London, KY
  • NPI 1063454650
  Medicare reassignment
• Memorial Hospital, Inc.

  dba AdventHealth Medical Group Manchester

  • Family Medicine Physician
  • Manchester, KY
  • NPI 1912137720
  NPD

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922541598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626329",
            "telephone_number": "606-599-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "TAMMIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100443670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dema Annette Hacker
• Judy Hacker, APRN
• Patricia Hacker, PTA
• Reva Renee Hacker, LPCC
• Sabrina Nicole Hacker, M.S.
• Tammy Lynn Hacker, PTA
• Jeffrey A Hammons, CRNA
• Kelsie Orilene Harris
• Polly Jean Hatfield
• Stacey Lorraine Hayden, LPCA

• Family Nurse Practitioner in Manchester, KY
• Providers in Manchester, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.