MRS. LEAH ANN TATASCIORE RN PHCNS-BC CBIS
NPI 1306376967
Registered Nurse - General Practice in Traverse City, MI

Active since June 15, 2017
1501 CASS ST STE C, TRAVERSE CITY, MI 49684(231) 932-0413(231) 929-0048 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 15, 2017 (3 updates tracked since 2017).

About Mrs. Leah Ann Tatasciore Rn Phcns-bc Cbis NPPES

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

MRS. LEAH ANN TATASCIORE RN PHCNS-BC CBIS (NPI 1306376967) is an individual general practice provider in Traverse City, Michigan, licensed in Michigan (4704242915) and active in the NPI registry since June 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306376967
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMRS. LEAH ANN TATASCIORECredential: RN PHCNS-BC CBIS
Location Address1501 CASS ST STE CTraverse City, MI 49684-4157
Mailing Address1501 Cass St Ste CTraverse City, MI 49684-4157 · (231) 932-0413 · Fax (231) 929-0048
Fax(231) 929-0048
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1306376967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in MI · 4704242915
1501 CASS ST STE C, Traverse City, MI 49684

Secondary Practice Locations 2

Location 13205 Supply RdTraverse City, MI 49696-9486 · Phone (231) 935-1070 · Fax (231) 935-1455
Location 23255 Mahoney DrTraverse City, MI 49696-9187 · Phone (231) 935-1070 ext. 2 · Fax (231) 935-1496

Other Providers at the Same Location NPPES

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

Rehabilitation Hospital
1501 CASS ST STE C
TRAVERSE CITY, MI 49684

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 Leah Tatasciore's NPI number?

The NPI number for Leah Tatasciore is 1306376967. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Leah Tatasciore located?

Leah Tatasciore practices at 1501 Cass St Ste C, Traverse City, MI 49684. The listed phone number is (231) 932-0413.

What is Leah Tatasciore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Leah Tatasciore was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.