MRS. TAMMY HOLDER (CNP) – Nurse Practitioner, NPI 1730530932

MRS. TAMMY HOLDER (CNP) is a healthcare provider. based in Tishomingo, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 94202 (OK). The NPI Number for MRS. TAMMY HOLDER (CNP) is 1730530932

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMMY HOLDER (CNP)
NPI
1730530932
Phone
(580) 371-2361
Address
817 E 6TH ST
Enumeration Date
29 June 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5804363980
Graduation Year
2016 (10 years ago)
PAC ID
7113213562
Group Practice PAC ID
8426957523
Professional Enrollment ID
I20160910000229
Address ID
OK748203439AD1921XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. TAMMY HOLDER (CNP)

  • 817 E 6TH ST

    TISHOMINGO, OK 734601800

    Phone: (580) 371-2361

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160910000229INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6238$0
99213Established patient office or other outpatient visit, 20-29 minutes5641$0
View full utilization report →

Insurance plans in this area (ZIP 73460)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426957523View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. TAMMY HOLDER (CNP)?
MRS. TAMMY HOLDER (CNP) — NPI 1730530932 — is the standard way to identify this listing.
Does CMS list MRS. TAMMY HOLDER (CNP) as active?
Yes — MRS. TAMMY HOLDER (CNP) is active in the NPI listing used on this page.
What taxonomy line describes MRS. TAMMY HOLDER (CNP)?
For research purposes, treat MRS. TAMMY HOLDER (CNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. TAMMY HOLDER (CNP) based?
MRS. TAMMY HOLDER (CNP) is tied to Tishomingo, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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