TY MAULDIN NPI 1134880453

NPI Information

NPI: 1134880453
Provider Name: TY MAULDIN
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1316 W WICKLOW CT
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 836-1227
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Ty Mauldin is a student in an organized health care education training program in Sioux Falls, SD. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ty Mauldin NPI is 1134880453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1316 W WICKLOW CT
SIOUX FALLS, SD
ZIP 57108-252
Phone: (605) 836-1227

The enumeration date for this NPI number is 1/8/2022 and was last updated on 8/18/2022.

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	363AM0700X	Physician Assistant	Medical	GC05112013	SOUTH DAKOTA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			FLORIDA	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	5020425893002	OTHER	TENNESSEE	SS NETWORK ALLIANCE #
2	96440	OTHER	CALIFORNIA	ACCME (ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION)
3	TAMGC05152013	OTHER	NORTH CAROLINA	GREENSBORO COLLEGE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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