Nikki Tiedje, RN, MSN, CCNS

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041328791 Issued in IL

Practice address

1072 W Chestnut St
Chicago, IL 60642-5471

Phone

(312) 491-8441

NPI assigned

May 3, 2022

Last updated

May 3, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1316682321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 W CHESTNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425471",
            "telephone_number": "312-491-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 W CHESTNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425471",
            "telephone_number": "312-491-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDJE",
        "first_name": "NIKKI",
        "credential": "RN, MSN, CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041328791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidal Nutrition and Recovery, PLLC
• Tides Counseling Chicago, PLLC
• Tides Mental Health of Il, PLLC
• Nichell Tidwell, M.D.
• Eric Tiede, MD
• Grace Geme Vieaux Tiedt
• Jakov Tiefenbach, MBCHB
• Paige Tieman, PHYSICIAN ASSISTANT
• Chieh-Li Tien, D.D.S.
• Tiernan Counseling Services

• Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.