Individual provider Active NPI

Tammy Lynn Hahn

  • Occupational Health Nurse Practitioner
  • Gibsonton, FL
National Provider Identifier
1922780329
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
APRN11027865 Issued in FL
Practice address
13031 Wyandotte Rd
Gibsonton, FL 33534-5833
Phone
(813) 630-6943
Fax
(813) 635-1796
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027865 FL
Occupational Health Nurse Practitioner 363LX0106X APRN11027865 FL Primary

Addresses

Primary practice location

13031 Wyandotte Rd
Gibsonton, FL 33534-5833

Mailing address

802 Black Knight Dr
Valrico, FL 33594-6601
Phone (813) 990-9253

Other practice location 1

3602 Port Sutton Rd
Tampa, FL 33619-9526
Phone (813) 627-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027865FLMDOccupational Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1922780329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BLACK KNIGHT DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946601",
            "telephone_number": "813-990-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 WYANDOTTE RD",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335345833",
            "telephone_number": "813-630-6943",
            "fax_number": "813-635-1796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3602 Port Sutton Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336199526",
            "country_code": "US",
            "telephone_number": "813-627-2900",
            "fax_number": "813-627-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027865",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "FL",
            "license": "APRN11027865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.