Tamara Jo Nicholson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28077920A Issued in IN

Practice address

4333 Bell Rd
Unit 1610
Newburgh, IN 47630-8177

Phone

(812) 202-0659

Fax

(812) 490-6259

NPI assigned

Jun 8, 2008

Last updated

Jun 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212883200000",
    "number": "1265691828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 BELL RD",
            "address_2": "UNIT 1610",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308177",
            "telephone_number": "812-202-0659",
            "fax_number": "812-490-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 BELL RD",
            "address_2": "UNIT 1610",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308177",
            "telephone_number": "812-202-0659",
            "fax_number": "812-490-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TAMARA",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "IN",
            "license": "28077920A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28077920A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Beatrice Newcome
• Mackenzie Newland
• Tessa Newman
• Brian Keith Newton, PHARMD
• Kara Marie Nichols, MA CCC-SLP
• Abigail Elaine Niemeier, MA, BCBA
• Kendra Payton Nienaber, FNP-BC
• Rebeca S Nieves, MD
• Hannah Noble-Frey
• Miguel Paulo Nora, NP

• Registered Nurse in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; 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.