Tielle Nicole Dicaprio, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1046804 Issued in TX

Practice address

2401 S FM 51 Ste 200
Decatur, TX 76234-3783

Phone

(940) 627-0044

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By 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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1619548187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PLEASANT RUN",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760206049",
            "telephone_number": "814-952-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S FM 51 STE 200",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343783",
            "telephone_number": "940-627-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICAPRIO",
        "first_name": "TIELLE",
        "middle_name": "NICOLE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1046804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Opco I LLC
• Decatur Physician Services PLLC
• Decatur Smiles (Smart Mouth Family Dental)
• Decatur Womens Health Center PA
• Andrea Megan Deloera, PA-C
• Margaret M Dickens, MNT
• Kailey Rene Dobbs, PA-C
• Claressa Donley, FNP
• Russell Gene Doubrava, DO
• Dr. Meria Aulds, M. D.

• Acute Care Nurse Practitioner in Decatur, TX
• Providers in Decatur, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.