IndividualActive
Tammera Park, P.A.-C
NPI 1598853129 · Physician Assistant · Crawfordsville, IN
Provider details
- NPI number
- 1598853129
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2054 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1641 S US Highway 231
Crawfordsville, IN 47933-9421
Phone: (765) 307-7146
Fax: (833) 464-2510
Street-level locationGet directions
Mailing address
4196 Highway 62 412 Ste a
Hardy, AR 72542-8002
Additional practice locations (2)
- 1690 Meade StDenver, CO 80204-1552Phone: (970) 439-2313
- Po Box 479Erie, CO 80516-0479Phone: (704) 637-8040
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.