Active NPI
Nyssa Bianca Taco
- Registered Nurse
- Carmel, IN
National Provider Identifier
1508240144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95057928
- Practice address
- 3791 Dolan Way
Carmel, IN 46074-8358 - Phone
- (317) 268-8525
- Fax
- (317) 268-8526
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95057928 | CA | Primary |
Addresses
Primary practice location
3791 Dolan Way
Carmel, IN 46074-8358
Mailing address
3791 Dolan Way
Carmel, IN 46074-8358
Phone (317) 268-8525
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95057928 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1508240144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3791 DOLAN WAY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460748358",
"telephone_number": "317-268-8525",
"fax_number": "317-268-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3791 DOLAN WAY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460748358",
"telephone_number": "317-268-8525",
"fax_number": "317-268-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACO",
"first_name": "NYSSA BIANCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95057928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.