MRS. TAMARA LYNN KING NPI 1073988598

NPI Information

NPI: 1073988598
Provider Name: MRS. TAMARA LYNN KING
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1 WYOMING ST
BERRY BUILDING, GROUND FLOOR
DAYTON, OH
ZIP 45409
Phone: (937) 208-2516
Get Directions

MRS. Tamara Lynn King is a women's health nurse practitioner in Dayton, OH. MRS. Tamara Lynn King NPI is 1073988598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 WYOMING ST
BERRY BUILDING, GROUND FLOOR
DAYTON, OH
ZIP 45409-722
Phone: (937) 208-2516
Fax: (937) 208-6124

The NPI 1073988598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 4/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP1700X	Registered Nurse	Perinatal	RN282583	OHIO	No
2	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	RN282583	OHIO	No
3	363LW0102X	Nurse Practitioner	Women's Health	COA.18661-NP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H364620	MEDICARE PIN	OHIO
2	0156508	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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