Individual provider · Type 1 NPI

Ty Taubenheim, NP

Nurse Practitioner · Oak Ridge, TN

NPI number 1902404080 Active

Practice location

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832

Call (865) 690-4861 Map

Fax (865) 483-3807

Mailing address

PO Box 160909
Altamonte Springs, FL 32716-0909

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	28201 (TN)

Nurse Practitioner: (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 wit…

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About NPI 1902404080

Ty Taubenheim, NP's National Provider Identifier is 1902404080, issued on Oct 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oak Ridge, TN. The record was last updated on Oct 28, 2026.