Tamara Michele Prescott, CPT

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4611 N Dixie Hwy Ste 100
Elizabethtown, KY 42701-8828

Phone

(502) 369-1654

Fax

(502) 861-7287

NPI assigned

May 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1083236756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SOUTHLAND DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609606",
            "telephone_number": "904-328-9788",
            "fax_number": "502-861-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N DIXIE HWY STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018828",
            "telephone_number": "502-369-1654",
            "fax_number": "502-861-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401609606",
            "country_code": "US",
            "telephone_number": "502-369-1654",
            "fax_number": "502-861-7287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "TAMARA",
        "middle_name": "MICHELE",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tmphleb@gmail.com",
            "affiliation": "N",
            "address_1": "4611 N Dixie Hwy Ste 100",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427018828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Elizabethtown, KY
• Contractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.