Tammy Lelavith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003254 Issued in CA

Practice address

21201 Victory Blvd Ste 154
Canoga Park, CA 91303-4051

Phone

(866) 445-8267

NPI assigned

Jan 19, 2017

Last updated

Jan 19, 2017By the provider in NPPES

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

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1356888051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21201 VICTORY BLVD STE 154",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034051",
            "telephone_number": "866-445-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21201 VICTORY BLVD STE 154",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034051",
            "telephone_number": "866-445-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAVITH",
        "first_name": "TAMMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.