Active NPI
Tikneca D West
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1225254089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN580356L
- Practice address
- 260 S Broad St
18TH Floor
Philadelphia, PA 19102-5021 - Phone
- (267) 765-2322
- Fax
- (215) 731-2400
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN580356L | PA | Primary |
Addresses
Primary practice location
260 S Broad St
18TH Floor
Philadelphia, PA 19102-5021
Mailing address
260 S Broad St
18TH Floor
Philadelphia, PA 19102-5021
Phone (267) 765-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN580356L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225254089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S BROAD ST",
"address_2": "18TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191025021",
"telephone_number": "267-765-2322",
"fax_number": "215-731-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S BROAD ST",
"address_2": "18TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191025021",
"telephone_number": "267-765-2322",
"fax_number": "215-731-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "TIKNECA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN580356L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.