TOMMIE OTT (NPI# 1568837367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568837367 |
| Entity Type | Individual |
| Full Name | TOMMIE OTT |
| Practice Address |
5177 Mccarty Ln Lafayette IN 47905-8764 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28174042A | IN | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71006022A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201342030 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000993789 | 01 |
| Street Address |
5177 MCCARTY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659551224 | Shellene Coleman | Nurse Practitioner | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2007-11-12 |
| 1558989491 | Nuvair Ali Imam | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-07 |
| 1336766559 | Jasmin Poonia | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-03 |
| 1316564537 | Meagan Dineen | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-03 |
| 1952927469 | Manjinder Singh Sekhon | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-20 |
| 1083236046 | Brittany Chana'is Kendrick | Midwife | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-05-13 |
| 1629607239 | Sherif Magdy Amin | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-06 |
| 1710516406 | Victoria Claire Robinson | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-03 |
| 1871153825 | Vinusiya Shanmugalingam | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2019-06-20 |
| 1588223267 | Raeven N Cole | Registered Nurse | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1376741462 | Dianne Freeman-moore | Nurse Practitioner | 819 Woodmere Dr, Lafayette, IN 47905-5604 | 2007-07-10 |
| 1861554115 | Trent Fogleman, M.d., LLC | Nurse Practitioner | 1817 Bertrand Dr., Suite D, Lafayette, LA 70506 | 2006-12-14 |
| 1013470004 | Fallon Savoy Guidry | Nurse Practitioner | 4630 Ambassador Caffery Pkwy, Ste 204, Lafayette, LA 70508 | 2019-04-08 |
| 1154880128 | Sabrina Darbonne | Nurse Practitioner | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2019-03-18 |
| 1568941169 | Hailey S Hannon | Nurse Practitioner | 964 Mezzanine Dr, Lafayette, IN 47905-8631 | 2018-08-14 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1689022139 | Janis Lee Lydick | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2016-05-25 |
| 1942663885 | Aundria Hebert Cannon | Nurse Practitioner | 435 Heymann Blvd, Lafayette, LA 70503-2616 | 2016-03-29 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.