KRISTEN LEIGH THACKER NPI 1316536063

NPI Information

NPI: 1316536063
Provider Name: KRISTEN LEIGH THACKER
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
117 N 4TH ST
IRONTON, OH
ZIP 45638
Phone: (740) 237-4981
Get Directions

Kristen Leigh Thacker is an addiction (substance use disorder) registered nurse in Ironton, OH. Kristen Leigh Thacker NPI is 1316536063. 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:

117 N 4TH ST
IRONTON, OH
ZIP 45638-403
Phone: (740) 237-4981

The enumeration date for this NPI number is 1/15/2021 and was last updated on 1/15/2021.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.174239	OHIO	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	RN.482139	OHIO	Yes
3	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN.482139	OHIO	No
4	171M00000X	Case Manager/Care Coordinator		CMS		No

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	CDCA.174239	OTHER	OHIO	COUNSELOR
2	RN.482139	OTHER	OHIO	OHIO NURSING

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: 11/14/2023

NPI Synchronization or Removal

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