Nichole Lee Tagliavento, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

093301-23 Issued in NH

Practice address

155 Main Dunstable Rd Ste 200
Nashua, NH 03060-3640

Phone

(603) 484-6694

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mat Care Clinics LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Nashua, NH
  • NPI 1730789025
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1336833672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARKET ST APT A24",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521899",
            "telephone_number": "781-572-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN DUNSTABLE RD STE 200",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603640",
            "telephone_number": "603-484-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIAVENTO",
        "first_name": "NICHOLE",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "093301-23",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NH",
            "license": "093301-23",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "093301-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2309030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chari Szepanski, PMHNP
• Liliane Adele Sznycer, MD
• Amanda Szostak, OTR/L
• Andrea Taatjes, LCMHC
• Ernest K Tabiri, PA-C
• Afsoon Takrimi
• Grace A Tallarico, MD
• Heather Tallman Ruhm, MD
• Anji Tang, MD
• Mary Sviklas Tanzer, MD

• Psychiatric/Mental Health Nurse Practitioner in Nashua, NH
• Providers in Nashua, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.