BERNARD P TADDA FNP NPI 1417943903

NPI Information

NPI: 1417943903
Provider Name: BERNARD P TADDA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
500 W RIVER DR
DAVENPORT, IA
ZIP 52801
Phone: (563) 336-3000
Get Directions

Bernard P Tadda, FNP is a family nurse practitioner in Davenport, IA. Bernard P Tadda, FNP NPI is 1417943903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 W RIVER DR
DAVENPORT, IA
ZIP 52801-014
Phone: (563) 336-3000
Fax: (563) 336-3125

The enumeration date for this NPI number is 9/21/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A080476	IOWA	Yes
2	363LF0000X	Nurse Practitioner	Family	209002893	ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5201162	OTHER	IOWA	CONTROLLED SUBSTANCE#
2	421060724	OTHER	IOWA	BILLING TAX ID# FOR CHC
3	IA0133	OTHER	IOWA	JOHN DEERE EDI#
4	079606	OTHER		HEALTH ALLIANCE
5	02253	OTHER	IOWA	IA BCBS SEEN IN DAVENPORT
6	42106072433	OTHER	IOWA	JOHN DEERE HEALTH
7	S55307	OTHER		UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »