Randall Troy Tingle, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015245 Issued in KY

Practice address

58 Citation LN
Campbellsburg, KY 40011-7590

Phone

(502) 532-7341

Fax

(502) 532-0127

NPI assigned

May 6, 2020

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1376164814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CITATION LN",
            "city": "CAMPBELLSBURG",
            "state": "KY",
            "postal_code": "400117590",
            "telephone_number": "502-639-0599",
            "fax_number": "502-532-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CITATION LN",
            "city": "CAMPBELLSBURG",
            "state": "KY",
            "postal_code": "400117590",
            "telephone_number": "502-532-7341",
            "fax_number": "502-532-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLE",
        "first_name": "RANDALL",
        "middle_name": "TROY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Campbellsburg, KY
• Providers in Campbellsburg, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.