Individual provider Active NPI

Tametrius Nicole Cyriaque

  • Registered Nurse
  • Dayton, OH
National Provider Identifier
1346963188
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
449629 Issued in OH
Practice address
3700 N Dixie Dr
Dayton, OH 45414-5235
Phone
(937) 275-7032
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 449629 OH Primary

Addresses

Primary practice location

3700 N Dixie Dr
Dayton, OH 45414-5235

Mailing address

3700 N Dixie Dr
Dayton, OH 45414-5235

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tnicolecyriaque@yahoo.com

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

LicenseStateTypeSpecialty
449629OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Ohio Inc PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1346963188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145235",
            "telephone_number": "937-275-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRIAQUE",
        "first_name": "TAMETRIUS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "449629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tnicolecyriaque@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3700 N Dixie Dr",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.