REXANNA TATLOCK AGPCNP-BC NPI 1851877328

NPI Information

NPI: 1851877328
Provider Name: REXANNA TATLOCK, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2325 18TH ST STE 130
COLUMBUS, IN
ZIP 47201
Phone: (812) 379-2020
Get Directions

Rexanna Tatlock, AGPCNP-BC is an adult health nurse practitioner in Columbus, IN with 6 years of experience. Rexanna Tatlock, AGPCNP-BC NPI is 1851877328. 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:

2325 18TH ST STE 130
COLUMBUS, IN
ZIP 47201-387
Phone: (812) 379-2020
Fax: (812) 378-8267

The NPI 1851877328 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 7/17/2018 and was last updated on 3/27/2024.

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	163W00000X	Registered Nurse		28204653A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	71008415A	INDIANA	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	300021975	MEDICAID	INDIANA
2	000001214853	OTHER	INDIANA	ANTHEM PROVIDER NUMBER

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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