MR. TIMOTHY LYLE SELLERS FNP NPI 1326523358

NPI Information

NPI: 1326523358
Provider Name: MR. TIMOTHY LYLE SELLERS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4327 GOLDEN CENTER DR
PLACERVILLE, CA
ZIP 95667
Phone: (530) 621-7700
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MR. Timothy Lyle Sellers, FNP is a family nurse practitioner in Placerville, CA. MR. Timothy Lyle Sellers, FNP NPI is 1326523358. 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:

4327 GOLDEN CENTER DR
PLACERVILLE, CA
ZIP 95667-287
Phone: (530) 621-7700

The NPI 1326523358 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 9/25/2018 and was last updated on 9/25/2018.

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	363LF0000X	Nurse Practitioner	Family	95009908	CALIFORNIA	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	MS4946022	OTHER	CALIFORNIA	DRUG ENFORCEMENT AGENCY (DEA)
2	95009908	OTHER	CALIFORNIA	NURSE PRACTITIONER LICENSE

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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