Tammy Sue Ahmouda, PN.102856-MEDS

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.102856 Issued in OH

Practice address

1366 Vimla Way
Xenia, OH 45385-5731

Phone

(937) 559-2483

NPI assigned

May 12, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1669850467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 VIMLA WAY",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855731",
            "telephone_number": "937-559-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 VIMLA WAY",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855731",
            "telephone_number": "937-559-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMOUDA",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "PN.102856-MEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.102856",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "2013045400",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "RR470365",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "OH",
            "license": "PN.102856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Adkins, QBHS
• Rachelle Leigh Adkins, RN
• Zuhair Afaneh, MD
• After Hours Internal Medicine
• Layla Ahlers
• Jessica K Akemon, RN
• Al Xenia Operations, LLC
• Jasmine Alexander, LSW
• Esam Alkhawaga
• Allen & Carmens Caring Hands LLC

• Licensed Practical Nurse in Xenia, OH
• Providers in Xenia, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.