JACQUELINE M TRICOMI CNP NPI 1093737488

NPI Information

NPI: 1093737488
Provider Name: JACQUELINE M TRICOMI, CNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Get Directions

Jacqueline M Tricomi, CNP is a pediatrics nurse practitioner in Cleveland, OH. Jacqueline M Tricomi, CNP NPI is 1093737488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-7700

The enumeration date for this NPI number is 7/24/2006 and was last updated on 8/18/2011.

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	363LP0200X	Nurse Practitioner	Pediatrics	2783-NP	OHIO	Yes

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	745927	OTHER	OHIO	BUCKEYE
2	2348598	MEDICAID	OHIO
3	KENP11512	MEDICARE PIN	OHIO
4	P70424	MEDICARE UPIN	OHIO
5	000000221188	OTHER	OHIO	UNISON
6	7423723	OTHER	OHIO	AETNA
7	KENP11511	MEDICARE PIN	OHIO
8	000000374507	OTHER	OHIO	ANTHEM
9	000000526068	OTHER	OHIO	ANTHEM
10	363693	OTHER	OHIO	WELLCARE

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

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