Tara Irene Colella Niesen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP018653 Issued in PA

Practice address

1330 Powell St Ste 507
Norristown, PA 19401-3352

Phone

(484) 622-7940

Fax

(484) 622-7950

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1053803353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789967",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191789967",
            "telephone_number": "484-622-7395",
            "fax_number": "484-622-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 POWELL ST STE 507",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013352",
            "telephone_number": "484-622-7940",
            "fax_number": "484-622-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLELLA NIESEN",
        "first_name": "TARA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Catherine Clark, PT, DPT
• Abigael Clarkson
• CMMC
• Coatesville Vamc
• Robert Cohen
• La Jeim Ilese Coleman, OTR
• Christine Marie Coletta-Hansen, CRNP
• Zachary Collier
• Shani Collins, MSW
• Commonwealth of Pennsylvania

• Family Nurse Practitioner in Norristown, PA
• Providers in Norristown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.