ADAM NICHOLAS PEDDICORD APRN NPI 1629433024

NPI Information

  • NPI: 1629433024
  • Provider Name: ADAM NICHOLAS PEDDICORD, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4135 DIXIE HWY
    ELSMERE, KY
    ZIP 41018
  • Phone: (513) 834-7063

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NPI Details

Adam Nicholas Peddicord, APRN is a family nurse practitioner in Elsmere, KY. Adam Nicholas Peddicord, APRN NPI is 1629433024. 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:

4135 DIXIE HWY
ELSMERE, KY
ZIP 41018-815
Phone: (513) 834-7063

The NPI 1629433024 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 12/30/2015 and was last updated on 12/22/2021.

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
1363LF0000XNurse PractitionerFamily3009900KENTUCKYYes

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: 3/30/2025

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