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NICOLE RENEE TANTIPITHAM CRNA
NPI 1417266339
Anesthesiology - Critical Care Medicine in Ann Arbor, MI

Active since September 27, 2010
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109(734) 936-4280 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Renee Tantipitham Crna NPPES

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

NICOLE RENEE TANTIPITHAM CRNA (NPI 1417266339) is an individual critical care medicine provider in Ann Arbor, Michigan, licensed in Michigan (4704253054) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1417266339
Entity TypeIndividualFemale
Primary Taxonomy207LC0200X
Provider Legal NameNICOLE RENEE TANTIPITHAMCredential: CRNA
Location Address1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITALAnn Arbor, MI 48109-5048
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 936-4280
Sole ProprietorNo
Enumeration DateSeptember 27, 2010
Last NPPES UpdateOctober 3, 2019
✔ NPI 1417266339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in MI · 4704253054
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 4704253054 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
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Other Names 1

Former Name (1)Nicole Renee Sortman

Other Providers at the Same Location NPPES 20

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

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Nicole Tantipitham's NPI number?

The NPI number for Nicole Tantipitham is 1417266339. It was assigned to this individual provider in the NPPES registry on September 27, 2010. The provider is also known as Nicole Renee Sortman.

Where is Nicole Tantipitham located?

Nicole Tantipitham practices at 1500 E Medical Center Dr 1h247 University Hospital, Ann Arbor, MI 48109. The listed phone number is (734) 936-4280.

What is Nicole Tantipitham's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

When was this NPI record last updated?

The NPPES record for Nicole Tantipitham was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.