Tara Marie Muscolino, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

704944-01 Issued in NY

Practice address

329 N Salina St
Syracuse, NY 13203-1755

Phone

(315) 471-1564

Fax

(315) 471-2531

NPI assigned

Apr 11, 2024

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1497508139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-471-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-471-1564",
            "fax_number": "315-471-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCOLINO",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "704944-01",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "704944-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Musacchio
• Michael Musante
• Tracey Musarra Marchese, MSW, LCSW-R
• Olivia Ann Muscolino
• Stacey A Muscolino, P.N.P.
• Musculoskeletal Medicine P C
• Robin E Musenga, LPN
• Lesley Musgrove
• Raja Muhammad Hamza Mushtaq, MD
• Brandie Musick

• Psychiatric/Mental Health Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.