Tamalynn O'Daniel, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3003327 Issued in KY

Practice address

3209 Chickadee Rd
Louisville, KY 40213-1307

Phone

(507) 400-8636

Fax

(516) 531-8816

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisville Observational Medicine Associates PSC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1356018519
  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• University of Louisville Physicians, Inc.

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1386910917
  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1588614994
  NPD (past)
• Gray & Allen PSC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1366571127
  NPD (past)
• Md2U PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1578576690
  NPD (past)
• Norton Enterprises, Inc.

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1104863562
  NPD (past)
• Southern Emergency Medical Specialists, P.S.C.

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1194704866

  Acute Care

  NPD (past)
• Commonwealth Ear Nose & Throat-Head & Neck Center

  • Otolaryngology Physician
  • Carol Stream, IL
  • NPI 1689732836
  NPD (past)
• Md2U Indiana LLC

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1598070740
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1386644425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 CHICKADEE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131307",
            "telephone_number": "507-400-8636",
            "fax_number": "516-531-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 CHICKADEE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131307",
            "telephone_number": "507-400-8636",
            "fax_number": "516-531-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "TAMALYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001869A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71001869A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3003327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSURE",
            "identifier": "3003327",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr2.charmtracker.com/ehr/physician/myPatients.do?ACTION=FETCH_PATIENTS&FACILITY_ID=57d9dfd50bb6912198ee2e5ce9d5cc8a361f86c722be1962",
            "affiliation": "N",
            "endpointDescription": "CHARM EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Practice EHR",
            "address_1": "3209 Chickadee Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402131307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis O'Connor IV, M.D.
• Jennifer O'Connor
• Jessica O'Connor
• Mary Colleen O'Connor, LMT
• Joseph Anthony O'Daniel Jr., M.D.
• Thomas G. O'Daniel Jr., M.D.
• Theresa O'Day
• Amy O'Dell
• Danielle Elizabeth O'Dell, PA-C
• Patrick O'Dell

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, 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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.