Vivien Tietchen, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00293600 Issued in NJ

Practice address

36 Fabiszewski Way
Parlin, NJ 08859-1691

Phone

(732) 429-6303

Fax

(732) 767-2975

NPI assigned

Mar 19, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Vivien Tietchen Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: vivien.tietchen@direct.hackensackmeridian.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1013282458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FABISZEWSKI WAY",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591691",
            "telephone_number": "732-429-6303",
            "fax_number": "732-767-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FABISZEWSKI WAY",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591691",
            "telephone_number": "732-429-6303",
            "fax_number": "732-767-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETCHEN",
        "first_name": "VIVIEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00293600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIEN",
            "last_name": "TIETCHEN",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samir Talati, R.PH.
• The Younan Group PA
• Arjun K Theertham, MD
• Theracare
• Dean A Thompson, PT, DPT
• Fabiola Tirado-Bickhardt
• Hanan Torres, LMT
• Latisha Torres
• Veronica Torres, P.T.
• Truehope Care LLC

• Adult Health Nurse Practitioner in Parlin, NJ
• Providers in Parlin, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.