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FUSE MEDICAL
NPI 1164003125
Nurse Practitioner in London, KY

Active since April 20, 2021CLIA 18D2224986 · Waiver
202 W 7TH ST STE 110, LONDON, KY 40741(606) 770-5161(606) 770-5168 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Apr 20, 2021 (2 updates tracked since 2021).

About Fuse Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUSE MEDICAL (NPI 1164003125) is a healthcare organization registered as a nurse practitioner in London, Kentucky and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 17, 2027, maintains a secondary practice location in London, and lists Tammy Whithead, Owner, as its authorized official.

NPPES Registry Identity

NPI1164003125
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFUSE MEDICAL
Location Address202 W 7TH ST STE 110London, KY 40741-1763
Mailing Address202 W 7th St Ste 110London, KY 40741-1763 · (606) 770-5161 · Fax (606) 770-5168
Phone(606) 770-5161
Fax(606) 770-5168
Organization SubpartNo
Authorized OfficialTammy WhitheadOwner · (606) 770-5161
Enumeration DateApril 20, 2021
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1164003125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
202 W 7TH ST STE 110, London, KY 40741
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Secondary Practice Location 1

Location 143 Waco DrLondon, KY 40741-8327 · Phone (606) 770-5161 · Fax (606) 770-5168

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2224986

Fuse Medical · London, KY
Active · expires May 17, 2027
CLIA Number18D2224986
Laboratory TypePractitioner Other
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorMs. Tammy Whitehead
Laboratory Phone(606) 770-5161
Laboratory LocationFuse Medical202 W 7th St Suite 1, London, KY 40741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FUSE MEDICAL
Clinic/Center (Multi-Specialty)
202 W 7TH ST STE 110
LONDON, KY 40741
Laurel County (606) 770-5161
MRS. BOBBIE JO ZHANG PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
202 W 7TH ST STE 110
LONDON, KY 40741
Laurel County (606) 770-5161
FUSE MEDICAL
Clinic/Center (Rural Health)
202 W 7TH ST STE 110
LONDON, KY 40741
Laurel County (606) 770-5161
FUSE MEDICAL
Clinic/Center (Rehabilitation, Substance Use Disorder)
202 W 7TH ST STE 110
LONDON, KY 40741
Laurel County (606) 770-5161
FUSE MEDICAL
Clinic/Center (Multi-Specialty)
202 W 7TH ST STE 110
LONDON, KY 40741
Laurel County (606) 770-5161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fuse Medical's NPI number?

The NPI number for Fuse Medical is 1164003125. It was assigned to this organization in the NPPES registry on April 20, 2021.

Where is Fuse Medical located?

Fuse Medical is located at 202 W 7th St Ste 110, London, KY 40741. The listed phone number is (606) 770-5161.

What is Fuse Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Fuse Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2224986) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fuse Medical accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Fuse Medical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fuse Medical was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.