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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MANDI LYNNE TIMOTHY FNP-C
NPI 1376478891
Nurse Practitioner - Family in Lutz, FL

Active since June 16, 2026
19009 FERN MEADOW LOOP, LUTZ, FL 33558(208) 750-5747 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandi Lynne Timothy Fnp-c NPPES

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

MANDI LYNNE TIMOTHY FNP-C (NPI 1376478891) is an individual family provider in Lutz, Florida, licensed in Florida (11045664) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1376478891
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANDI LYNNE TIMOTHYCredential: FNP-C
Location Address19009 FERN MEADOW LOOPLutz, FL 33558-4001
Mailing Address19009 Fern Meadow LoopLutz, FL 33558-4001
Phone(208) 750-5747
Sole ProprietorNo
Enumeration DateJune 16, 2026
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1376478891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11045664
19009 FERN MEADOW LOOP, Lutz, FL 33558
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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 Mandi Timothy's NPI number?

The NPI number for Mandi Timothy is 1376478891. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Mandi Timothy located?

Mandi Timothy practices at 19009 Fern Meadow Loop, Lutz, FL 33558. The listed phone number is (208) 750-5747.

What is Mandi Timothy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mandi Timothy was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.