Tami Pernell

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

128642 Issued in OH

Legal business name

TAMI PERNELL

Practice address

168 E State Route 296
Urbana, OH 43078-9325

Phone

(937) 210-2725

NPI assigned

Oct 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tami Sue Pernell

Title

LPN

Phone

(937) 210-2725

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1073917985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E STATE ROUTE 296",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789325",
            "telephone_number": "937-210-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 E STATE ROUTE 296",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789325",
            "telephone_number": "937-210-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMI PERNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "937-210-2725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "128642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Urbana, OH
• Providers in Urbana, OH by specialty
• Pediatric Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.