FUSE MEDICAL NPI 1164003125

NPI Information

  • NPI: 1164003125
  • Provider Name: FUSE MEDICAL
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • CLIA Number: 18D2224986
  • Address: 202 W 7TH ST STE 110
    LONDON, KY
    ZIP 40741
  • Phone: (606) 770-5161

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NPI Details

FUSE MEDICAL is a nurse practitioner in London, KY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. FUSE MEDICAL NPI is 1164003125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

202 W 7TH ST STE 110
LONDON, KY
ZIP 40741-763
Phone: (606) 770-5161
Fax: (606) 770-5168

The provider's authorized official is Tammy Whithead .
The authorized official title is Owner and has the following contact phone number (606) 770-5161.

The CLIA number assigned to this NPI record is 18D2224986 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2021 and was last updated on 9/9/2025.

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
1363L00000XNurse PractitionerYes

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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