1. Home
  2. Directory
  3. North Carolina
  4. Jacksonville
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TALIA MARIE NIETO
NPI 1124954375
Physician Assistant in Jacksonville, NC

Active since June 23, 2026
114 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-9688 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Talia Marie Nieto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TALIA MARIE NIETO (NPI 1124954375) is an individual physician assistant in Jacksonville, North Carolina and active in the NPI registry since June 2026. She maintains a secondary practice location in Sneads Ferry.

NPPES Registry Identity

NPI1124954375
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTALIA MARIE NIETO
Location Address114 MEMORIAL DRJacksonville, NC 28546-6328
Mailing Address121 Fox BlvdMassapequa, NY 11758-7253
Phone(910) 353-9688
Sole ProprietorNo
Enumeration DateJune 23, 2026
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1124954375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
114 MEMORIAL DR, Jacksonville, NC 28546
Open in Google Maps ↗

Secondary Practice Location 1

Location 1108 Lakeside DrSneads Ferry, NC 28460-9415 · Phone (910) 327-5437

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY CARE PHARMACY OF JACKSONVILLE
Pharmacy (Community/Retail Pharmacy)
114 MEMORIAL DR, SUITE B
JACKSONVILLE, NC 28546
Onslow County (910) 353-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Talia Nieto's NPI number?

The NPI number for Talia Nieto is 1124954375. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Talia Nieto located?

Talia Nieto practices at 114 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-9688.

What is Talia Nieto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Talia Nieto was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.