MS. JOHANNA D TARALLO ANP NPI 1164561536

NPI Information

  • NPI: 1164561536
  • Provider Name: MS. JOHANNA D TARALLO, ANP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4914 W SENECA TPKE
    SYRACUSE, NY
    ZIP 13215
  • Phone: (315) 468-2827

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NPI Details

MS. Johanna D Tarallo, ANP is a psychiatric/mental health nurse practitioner in Syracuse, NY. MS. Johanna D Tarallo, ANP NPI is 1164561536. 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:

4914 W SENECA TPKE
SYRACUSE, NY
ZIP 13215-225
Phone: (315) 468-2827
Fax: (315) 469-1742

The NPI 1164561536 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/8/2007.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthF301648NEW YORKYes

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: 3/30/2025

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