TARA NICOLETTE DO NPI 1942568795

NPI Information

NPI: 1942568795
Provider Name: TARA NICOLETTE, DO
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
101 E WOOD ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6806
Get Directions

Tara Nicolette, DO is an infectious disease internal medicine in Spartanburg, SC with 13 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Tara Nicolette, DO NPI is 1942568795. 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:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6806
Fax: (864) 560-7329

The NPI 1942568795 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 4/30/2012 and was last updated on 8/21/2023.

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	207R00000X	Internal Medicine		0116023970	VIRGINIA	No
2	207RI0200X	Internal Medicine	Infectious Disease	02005888A	INDIANA	No
3	207RI0200X	Internal Medicine	Infectious Disease	36193	SOUTH CAROLINA	No
4	207RI0200X	Internal Medicine	Infectious Disease	DO2022-0140	NEW MEXICO	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	361932	MEDICAID	SOUTH CAROLINA
2	15322065000171	MEDICAID	VIRGINIA
3	SCM1003365	OTHER	SOUTH CAROLINA	MEDICARE PIN

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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