Tami Lynne Kephart, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

110077 Issued in CO

Practice address

4125 Briargate Blvd
Colorado Springs, CO 80920-3490

Phone

(719) 305-9025

Fax

(719) 305-9026

NPI assigned

Apr 17, 2007

Last updated

Jul 22, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1619193893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203490",
            "telephone_number": "719-305-9025",
            "fax_number": "719-305-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPHART",
        "first_name": "TAMI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "110077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07110075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Kent
• Kenyon Inc
• Joshua Kenyon
• Sonja Kenyon, DC
• Andrea Keohane, MD
• Kyla Catherine Kepson, LSW
• Rebecca Kerber, RD
• Tibor Kereshi
• Sydney Kerin, LCSW
• Harmonie Ann Kerkow

• Pediatric Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.