Individual provider Active NPI

Tammy Wingo-Salmond

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1992128656
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000018281 Issued in TN
Practice address
1970 Jordan Ave NW
Cleveland, TN 37311-1900
Phone
(423) 790-7662
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 APN0000018281 TN Primary

Addresses

Primary practice location

1970 Jordan Ave NW
Cleveland, TN 37311-1900

Mailing address

276B James Asbury Dr NW
Cleveland, TN 37312-2984
Phone (423) 464-5776

Other practice location 1

602 Union Grove Rd NE
Charleston, TN 37310-6043
Phone (423) 284-3157

Other practice location 2

276B James Asbury Dr NW
Cleveland, TN 37312-2984
Phone (423) 464-5776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140423001741 TN Practitioner - Nurse Practitioner 8022241231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Grace Home Primary CareGroup PAC ID 3678798980, 3 clinicians

Practice addresses (Care Compare)

276 B James Asbury Dr NW
Cleveland, TN 37312-2984
Phone (423) 464-5776

3500 Dayton Blvd
Chattanooga, TN 37415-4629
Phone (423) 362-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000018281TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Family Night Clinic, LLC Family CurrentSince Aug 20, 2018 Accepting new patients
Grace Home Primary Care CurrentSince Nov 15, 2022 Accepting new patients

Locations

3500 Dayton Blvd
Chattanooga, TN 37415
Phone (423) 362-8400

276 James Asbury Dr NW
#B
Cleveland, TN 37312
Phone (423) 464-5776

Organizations & group practices 2

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 6

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1992128656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276B JAMES ASBURY DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122984",
            "telephone_number": "423-464-5776",
            "fax_number": "423-464-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 JORDAN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111900",
            "telephone_number": "423-790-7662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Union Grove Rd NE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "TN",
            "postal_code": "373106043",
            "country_code": "US",
            "telephone_number": "423-284-3157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276B James Asbury Dr NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373122984",
            "country_code": "US",
            "telephone_number": "423-464-5776",
            "fax_number": "423-464-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGO-SALMOND",
        "first_name": "TAMMY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.