Tess Anna Interlicchia, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342284 Issued in NY

Practice address

21 E Market St Ste 101
Corning, NY 14830-2650

Phone

(607) 377-6832

Fax

(607) 654-4122

NPI assigned

Mar 21, 2007

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornell University

  • Student Health Clinic/Center
  • Ithaca, NY
  • NPI 1073584926
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1225154479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E MARKET ST STE 101",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302650",
            "telephone_number": "607-377-6832",
            "fax_number": "607-654-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E MARKET ST STE 101",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302650",
            "telephone_number": "607-377-6832",
            "fax_number": "607-654-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTERLICCHIA",
        "first_name": "TESS",
        "middle_name": "ANNA",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "P021329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342284",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5463821",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN725497",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ME",
            "license": "51639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maridee Kaye Hunter, NP
• Theresa A Hurley, RN
• Renee Teresa Husted, FNP
• Hyun Shik Choi DDS PLLC (Safari Smiles)
• Deanna Marie Iacullo, OTR/L
• J & J Partner Consulting, LLC
• J&K Growth
• Meagan M. Jackson, M.S. ED.
• Shehla Javed
• Judy M Jeffers, OD

• Family Nurse Practitioner in Corning, NY
• Providers in Corning, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.