Active NPI
Tamara C Ford, BSN, MSN, AGNP-BC
- Nurse Practitioner
- Springfield, MO
National Provider Identifier
1972025856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG06170163
- Practice address
- 3850 S National Ave Ste 600
Springfield, MO 65807-5230 - Phone
- (417) 882-4880
- Fax
- (417) 882-7843
- NPI assigned
- Jul 12, 2017
- Last updated
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG06170163 | MO | |
| Nurse Practitioner | 363L00000X | AG06170163 | MO | Primary |
Addresses
Primary practice location
3850 S National Ave Ste 600
Springfield, MO 65807-5230
Mailing address
2008 S Hillock CT
Ozark, MO 65721-8595
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)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG06170163 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1972025856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 S HILLOCK CT",
"city": "OZARK",
"state": "MO",
"postal_code": "657218595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE STE 600",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075230",
"telephone_number": "417-882-4880",
"fax_number": "417-882-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "TAMARA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "BSN, MSN, AGNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "AG06170163",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "AG06170163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Amy Ruth Ford Turner, DO
- Andrew James Ford, DPT
- Glenn D Ford
- Jacqueline Marie Ford, RPH
- John D Ford, CRNA
- Fordland Clinic, Inc.
- Kelly Jean Fore, BC-HIS
- Forefront Dermatology - Missouri, LLC (Swann Dermatology Partners, A Forefront Dermatology Practice)
- Forefront Dermatology - Missouri, LLC (Swann Dermatology Partners, A Forefront Dermatology Practice)
- Forefront Dermatology - Missouri, LLC (Swann Dermatology Partners, A Forefront Dermatology Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.