Individual provider Active NPI

Tammy J Pattillo, ACNP-BC

  • Acute Care Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1972840908
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
571896 Issued in TX
Practice address
7326 S Staples St Ste a
Corpus Christi, TX 78413-5509
Phone
(361) 993-0188
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 571896 TX Primary

Addresses

Primary practice location

7326 S Staples St Ste a
Corpus Christi, TX 78413-5509

Mailing address

4309 Lavaca River CT
Corpus Christi, TX 78410-5677
Phone (361) 548-0105

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Chiropractic & Wellness CurrentSince Feb 1, 2022 Accepting new patients

Locations

2033 Airline Rd
Ste H1
Corpus Christi, TX 78412
Phone (361) 442-2073

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.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1972840908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 LAVACA RIVER CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105677",
            "telephone_number": "361-548-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 S STAPLES ST STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135509",
            "telephone_number": "361-993-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTILLO",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "571896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.