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

Tammy M Jividen, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1922251628

Tammy M Jividen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Winston Salem, North Carolina. Qualified in 2008, 18 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
18
Licensed in
NC, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-5201
Phone: (336) 716-2255
Fax: (336) 716-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1232 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024168039 (VA)

Record details

NPI number1922251628
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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