ANGELA TENNANT APRN
NPI 1922284660
Nurse Practitioner in Edgewood, KY

Q: What is Angela Tennant's NPI number?

The NPI number for Angela Tennant is 1922284660. It was assigned to this individual provider in the NPPES registry on January 11, 2008. The provider is also known as Angela Havens.

Q: What is Angela Tennant's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Tennant was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since January 11, 2008

1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017(859) 301-2000(859) 426-4140 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2019, Oct 12, 2018, Mar 19, 2018 and 5 more (8 updates tracked since 2015).

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About Angela Tennant Aprn NPPES

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

ANGELA TENNANT APRN (NPI 1922284660) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (3003096) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1922284660

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELA TENNANTCredential: APRN

Location Address1 MEDICAL VILLAGE DRIVEEdgewood, KY 41017

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-2000 · Fax (859) 426-4140

Phone(859) 301-2000

Fax(859) 426-4140

Sole ProprietorNo

Enumeration DateJanuary 11, 2008

Last NPPES UpdateAugust 22, 20198 updates tracked since enumeration

✔ NPI 1922284660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3003096

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.

1 MEDICAL VILLAGE DRIVE, Edgewood, KY 41017

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Other Names 1

Former Name (1)Angela Havens

Other Identifiers 3

Medicaid0163925OH

Medicaid78003951KY

Medicaid201359370IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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Other Providers at the Same Location NPPES 20

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

DEBORAH ELAINE BLISS ACNP

Nurse Practitioner (Acute Care)

1 MEDICAL VILLAGE DRIVE, ST. ELIZABETH HEALTHCARE
EDGEWOOD, KY 41017

Kenton County (859) 301-2000

DR. IAN CRAIG TALBOTT D.O.

Pathology (Anatomic Pathology & Clinical Pathology)