Nikkalynn F Delaurentis, DO

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

2144 Issued in TN

Practice address

1960 Madison St Ste J
#296
Clarksville, TN 37043-8039

Phone

(219) 218-9229

Fax

(888) 261-6219

NPI assigned

Jul 27, 2006

Last updated

Dec 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Aseracare Hospice - Tennessee, LLC

  dba AseraCare Hospice

  • Community Based Hospice Care Agency
  • McKenzie, TN
  • NPI 1750329181

  Hospice and Palliative Medicine

  NPD (past)
• Bedrockhc at Spring Meadows LLC

  • Skilled Nursing Facility
  • Clarksville, TN
  • NPI 1780140731
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1487678835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 MADISON ST STE J",
            "address_2": "#296",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438039",
            "telephone_number": "219-218-9229",
            "fax_number": "888-261-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 MADISON ST STE J",
            "address_2": "#296",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438039",
            "telephone_number": "219-218-9229",
            "fax_number": "888-261-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAURENTIS",
        "first_name": "NIKKALYNN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dehaven, APN
• Breanna Leigh Dekuiper, OTD
• Christina Marie Delapp, BCBA
• Makayden Delauder
• Dino A Delaurentis, DO
• Alfred Anthony Delgandio Jr., R.PH
• Charlsie Deloach, FNP-CB
• Delta Transit LLC
• Erica Demaagd, MD
• Michelle C Demarsilis, LCSW

• Hospice and Palliative Medicine (Family Medicine) Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.