Tammie Lou Mustard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

090929 Issued in OH

Practice address

2680 Kull Rd
Lancaster, OH 43130-7707

Phone

(740) 277-6166

NPI assigned

Feb 4, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1205467685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21382 LAUREL RUN ROAD",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "45764",
            "telephone_number": "740-652-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 KULL RD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307707",
            "telephone_number": "740-277-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTARD",
        "first_name": "TAMMIE",
        "middle_name": "LOU",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "090929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959459",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tmustard@nuewhorizonsmentalhealth.org",
            "affiliation": "N",
            "address_1": "2680 Kull Rd",
            "city": "Lancaster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431307707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Licensed Practical Nurse in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.