Healthcare Provider Details

I. General information

NPI: 1205538972
Provider Name (Legal Business Name): TAMMY SUE OAKES CCHW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMMY MOORE OAKES CCHW

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 FALMOUTH ST STE 101
RICHMOND VA
23230-1800
US

IV. Provider business mailing address

1113 CAMBRIDGE RD UNIT G
KILL DEVIL HILLS NC
27948-9511
US

V. Phone/Fax

Practice location:
  • Phone: 804-336-3127
  • Fax: 804-237-0321
Mailing address:
  • Phone: 434-321-3569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number3474
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: