Individual provider Active NPI

Tamara Bumpus, NP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1992015994
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11785-NP Issued in OH
Practice address
313 Jefferson Ave
Toledo, OH 43604-1004
Phone
(419) 255-7883
Fax
(419) 255-6438
NPI assigned
Oct 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.11785-NP OH Primary

Addresses

Primary practice location

313 Jefferson Ave
Toledo, OH 43604-1004

Mailing address

313 Jefferson Ave
Toledo, OH 43604-1004
Phone (419) 255-7883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240228000773 OH Practitioner - Nurse Practitioner 4183884265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Association of Toledo, Inc 9 clinicians

Practice addresses (Care Compare)

1415 Jefferson Ave
Toledo, OH 43604-5827
Phone (419) 214-5700

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.11785-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Association of Toledo, Inc. Current Accepting new patients
Neighborhood Health Association of Toledo, Inc Current Accepting new patients
Neighborhood Health Association of Toledo, Inc CurrentSince Dec 25, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Dec 25, 2023 Accepting new patients
Neighborhood Health Association of Toledo, Inc. Current Accepting new patients
Neighborhood Health Association of Toledo, Inc. CurrentSince Dec 25, 2023 Accepting new patients
Neighborhood Health Association of Toledo Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Neighborhood Health Association of Toledo, Inc. Past Accepting new patients
Neighborhood Health Association of Toledo, Inc. Past Accepting new patients
Neighborhood Health Association of Toledo, Inc. Past Accepting new patients

Locations

225 N Irwin Rd
Holland, OH 43528
Phone (419) 214-4354

117 Main St
Toledo, OH 43605
Phone (419) 691-1322

1415 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-5700

313 Jefferson Ave
Toledo, OH 43604
Phone (419) 214-1770

1020 Varland Ave
Toledo, OH 43605
Phone (419) 691-1429

732 South Ave
Toledo, OH 43609
Phone (419) 241-6106

544 E Woodruff Ave
Toledo, OH 43604
Phone (419) 214-4673

430 Nebraska Ave
Toledo, OH 43604
Phone (419) 671-5400

Interoperability endpoints

  • Direct secure messaging: tamarabumpus@nha.allscriptsdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1992015994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041004",
            "telephone_number": "419-255-7883",
            "fax_number": "419-255-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041004",
            "telephone_number": "419-255-7883",
            "fax_number": "419-255-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPUS",
        "first_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-09",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11785-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.