MRS. TAMI LYNNE KEPHART


Address: 4125 Briargate Blvd, Colorado Springs, CO 80920-3490
Phone: 7193059025

MRS. TAMI LYNNE KEPHART (NPI# 1619193893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619193893
Entity Type Individual
Full Name MRS. TAMI LYNNE KEPHART
Credential CPNP
Practice Address 4125 Briargate Blvd
Colorado Springs
CO 80920-3490
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 7193059025
Practice Fax Number 7193059026
Mailing Telephone 3034937000
Enumeration Date 2007-04-17
Last Update Date 2013-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
110077 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 07110075 05

Office Location

Street Address 4125 BRIARGATE BLVD
City COLORADO SPRINGS
State CO
Zip Code 80920-3490

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417355264 Sharman Ruth Hankins Nurse Practitioner 2875 Traverse Ct, Colorado Springs, CO 80916-4305 2014-12-10
1487887998 Lisa M. Day Nurse Practitioner 13128 Thumbprint Ct, Colorado Springs, CO 80921-7224 2009-08-31
1790832863 Robyn Rae Suiter Nurse Practitioner 3190 E Las Vegas St, Colorado Springs, CO 80906-8002 2007-01-04
1164417028 Dawn Carol Chapelle Neal Nurse Practitioner 5353 N Union Blvd # 201a, Colorado Springs, CO 80918 2005-09-16
1528525458 Amanda Chin Nurse Practitioner 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923-2611 2019-02-27
1649757485 Joelynn Marie Cartmell Nurse Practitioner 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 2018-07-24
1548774284 Lindsey Peters Nurse Practitioner 402 N Tejon St Ste 200, Colorado Springs, CO 80903-1142 2017-11-16
1598215519 Caroline Yurchak Nurse Practitioner 6985 Tutt Blvd Ste 100, Colorado Springs, CO 80923-3588 2016-10-13
1366999500 Kristen J Padgett Nurse Practitioner 4090 Briargate Pkwy, Colorado Springs, CO 80920 2016-09-06
1275998106 Tanya Lynn Brewer Nurse Practitioner 1715 N Weber St, Suite 120, Colorado Springs, CO 80907-7532 2015-12-18
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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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