TAMARA DENIECE KILLOUGH FNP NPI 1083017511

NPI Information

  • NPI: 1083017511
  • Provider Name: TAMARA DENIECE KILLOUGH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7571 STATE HIGHWAY 153
    WINTERS, TX
    ZIP 79567
  • Phone: (325) 754-1317

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NPI Details

Tamara Deniece Killough, FNP is a family nurse practitioner in Winters, TX. Tamara Deniece Killough, FNP NPI is 1083017511. 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:

7571 STATE HIGHWAY 153
WINTERS, TX
ZIP 79567-439
Phone: (325) 754-1317
Fax: (325) 754-1208

The NPI 1083017511 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 9/29/2014 and was last updated on 3/3/2020.

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
1363LF0000XNurse PractitionerFamilyAP126526TEXASYes

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: 11/21/2025

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