MS. TAYLOR RAE ALTENTHAL APRN NPI 1811548530

NPI Information

  • NPI: 1811548530
  • Provider Name: MS. TAYLOR RAE ALTENTHAL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 PINE ST
    SIKESTON, MO
    ZIP 63801
  • Phone: (573) 472-8850

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NPI Details

MS. Taylor Rae Altenthal, APRN is a family nurse practitioner in Sikeston, MO with 7 years of experience. MS. Taylor Rae Altenthal, APRN NPI is 1811548530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2019

The provider's business location address is:

200 PINE ST
SIKESTON, MO
ZIP 63801-258
Phone: (573) 472-8850
Fax: (573) 472-4050

The NPI 1811548530 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 9/24/2019 and was last updated on 6/16/2023.

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 PractitionerFamily2019025833MISSOURIYes

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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