TAMALYNN O'DANIEL APRN NPI 1386644425

NPI Information

  • NPI: 1386644425
  • Provider Name: TAMALYNN O'DANIEL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3209 CHICKADEE RD
    LOUISVILLE, KY
    ZIP 40213
  • Phone: (507) 400-8636

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NPI Details

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
1363LF0000XNurse PractitionerFamily71001869AINDIANANo
2363LA2100XNurse PractitionerAcute Care71001869AINDIANANo
3363LA2100XNurse PractitionerAcute Care3003327KENTUCKYNo
4363LF0000XNurse PractitionerFamily3003327KENTUCKYYes

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
13003327OTHERKENTUCKYAPRN 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: 11/21/2025

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