Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tammra Kay Mallory, FNP-C

Individual provider Family Nurse Practitioner · NPI 1750757076

Tammra Kay Mallory, FNP-C is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2015, 11 years ago. Practices with Ivy Medical Group PLLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Iowa, Illinois and Indiana and 11 more.

Years since qualifying
11
Licensed in
FL, IA, IL, IN, KS, KY
In the registry since
2015
Specialties on file
15
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11027 Baycreek Dr
Indianapolis, IN 46236-9101
Phone: (813) 730-8960
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71007270A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28237767A (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2023038564 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 87047 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN9497550 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10911 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 40452 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4008679 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 53-82580-082 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 358318 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 61654547 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14590-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A176453 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 116290-23 (NH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209013163 (IL)

Record details

NPI number1750757076
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 20, 2015
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ivy Medical Group Pllc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Indianapolis