Niteowl Pediatrics, LLC
NPI 1871887430ActiveOrganization· Nurse Practitioner, Family· Ooltewah, TN
Nurse Practitioner, Family in Ooltewah, Tennessee, registered in NPPES in June 2011. The authorized official on file is Amanda Pritchett, Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871887430 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2011 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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