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SALLY-ANN TAMIZUDDIN APRN
NPI 1457099277
Nurse Practitioner - Psychiatric/Mental Health in Springfield, IL

Active since May 23, 2022
2200 LAKE VICTORIA DR, SPRINGFIELD, IL 62703(217) 529-9266 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sally-ann Tamizuddin Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY-ANN TAMIZUDDIN APRN (NPI 1457099277) is an individual psychiatric/mental health provider in Springfield, Illinois, licensed in Illinois (277004034) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1457099277
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSALLY-ANN TAMIZUDDINCredential: APRN
Location Address2200 LAKE VICTORIA DRSpringfield, IL 62703-5596
Mailing Address1778 Chatham RdSpringfield, IL 62704-3202 · (217) 891-1587
Phone(217) 529-9266
Sole ProprietorNo
Enumeration DateMay 23, 2022
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1457099277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277004034
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 041.413811 (IL)
2200 LAKE VICTORIA DR, Springfield, IL 62703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HEATHER LYN DUARTE
Nurse Practitioner (Psychiatric/Mental Health)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (312) 913-2361
GINA HOWARD LPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
JENNIE MCCORMICK LPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
GATEWAY PROFESSIONAL SERVICES, PC
Counselor (Addiction (Substance Use Disorder))
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (877) 381-6538
GATEWAY FOUNDATION, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (877) 505-4673
KELLIE BRAND LCPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (312) 663-1130
CLAYTON GERALD PARKS M.D.
Psychiatry & Neurology (Psychiatry)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
THOMAS J BECK LPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally-ann Tamizuddin's NPI number?

The NPI number for Sally-ann Tamizuddin is 1457099277. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Sally-ann Tamizuddin located?

Sally-ann Tamizuddin practices at 2200 Lake Victoria Dr, Springfield, IL 62703. The listed phone number is (217) 529-9266.

What is Sally-ann Tamizuddin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Sally-ann Tamizuddin accept?

Health plans from Providence Health Plan list Sally-ann Tamizuddin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sally-ann Tamizuddin was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.