Tamara C Ford, BSN, MSN, AGNP-BC – Nurse Practitioner

Key facts

NPI: 1972025856
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: AG06170163 (MO)
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
Sex: Female
Sole proprietor: No

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.

Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Gerontology Nurse Practitioner	363LG0600X	AG06170163	MO
Nurse Practitioner	363L00000X	AG06170163	MO	Yes

Addresses

Primary practice location

3850 S National Ave Ste 600
Springfield, MO 65807-5230

Mailing address

2008 S Hillock CT
Ozark, MO 65721-8595

Other providers in Springfield, MO

All providers in Springfield, MO · Nurse Practitioner in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.