Individual provider Active NPI

Tammy Lynne Kimpland, RN

  • School Registered Nurse
  • Hannibal, NY
National Provider Identifier
1366792160
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
415320 Issued in NY
Practice address
846 Cayuga St
Hannibal, NY 13074-3152
Phone
(315) 564-7960
Fax
(315) 564-7980
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 415320 NY Primary

Addresses

Primary practice location

846 Cayuga St
Hannibal, NY 13074-3152

Mailing address

24 Scott Dr
Hannibal, NY 13074-2108
Phone (315) 564-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
415320NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1366792160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SCOTT DR",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130742108",
            "telephone_number": "315-564-7337",
            "fax_number": "315-564-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 CAYUGA ST",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130743152",
            "telephone_number": "315-564-7960",
            "fax_number": "315-564-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPLAND",
        "first_name": "TAMMY",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "415320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.