TAMMY SUE AHMOUDA PN.102856-MEDS
NPI 1669850467
Licensed Practical Nurse in Xenia, OH

Active since May 12, 2015
1366 VIMLA WAY, XENIA, OH 45385(937) 559-2483 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About TAMMY AHMOUDA

This page provides the complete NPI Profile along with additional information for Tammy Ahmouda, a provider established in Xenia, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1669850467 assigned on May 2015. The practitioner's primary taxonomy code is 164W00000X with license number PN.102856 (OH). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1669850467 Verify this NPI
Provider Name
TAMMY SUE AHMOUDA PN.102856-MEDS
Gender
Female
Entity Type
Individual
Location Address
1366 VIMLA WAY XENIA, OH 45385
Location Phone
(937) 559-2483
Mailing Address
1366 VIMLA WAY XENIA, OH 45385
Mailing Phone
(937) 559-2483
Is Sole Proprietor?
No
Enumeration Date
05-12-2015
Last Update Date
05-12-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
PN.102856
License State
OH
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1164W00000XNursing Service Providers

Licensed Practical Nurse

2013045400 (MS)
2172A00000XOther Service Providers

Driver

RR470365 (OH)
3174H00000XOther Service Providers

Health Educator

PN.102856 (OH)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669850467, enumerated as an "individual" on May 12, 2015.

The provider is located at 1366 VIMLA WAY XENIA, OH 45385 and the phone number is (937) 559-2483.

Licensed Practical Nurse with taxonomy code 164W00000X.