TAMALYNN O'DANIEL APRN NPI 1386644425

NPI Information

NPI: 1386644425
Provider Name: TAMALYNN O'DANIEL, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3209 CHICKADEE RD
LOUISVILLE, KY
ZIP 40213
Phone: (507) 400-8636
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Tamalynn O'daniel, APRN is a family nurse practitioner in Louisville, KY. Tamalynn O'daniel, APRN NPI is 1386644425. 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:

3209 CHICKADEE RD
LOUISVILLE, KY
ZIP 40213-307
Phone: (507) 400-8636
Fax: (516) 531-8816

The NPI 1386644425 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 7/29/2005 and was last updated on 5/24/2022.

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	71001869A	INDIANA	No
2	363LA2100X	Nurse Practitioner	Acute Care	71001869A	INDIANA	No
3	363LA2100X	Nurse Practitioner	Acute Care	3003327	KENTUCKY	No
4	363LF0000X	Nurse Practitioner	Family	3003327	KENTUCKY	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	3003327	OTHER	KENTUCKY	APRN LICENSURE

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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