TARA NICKUM CNP
NPI 1659808558
Nurse Practitioner in Batavia, OH

Q: What is Tara Nickum's NPI number?

The NPI number for Tara Nickum is 1659808558. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Q: What is Tara Nickum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Nickum was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 23, 2017

2080 ERION RD, BATAVIA, OH 45103(513) 403-4497 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tara Nickum Cnp NPPES

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

TARA NICKUM CNP (NPI 1659808558) is an individual nurse practitioner in Batavia, Ohio, licensed in Ohio (APRNCNP020769) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1659808558

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTARA NICKUMCredential: CNP

Location Address2080 ERION RDBatavia, OH 45103-8928

Mailing Address2080 Erion RdBatavia, OH 45103-8928 · (513) 403-4497

Phone(513) 403-4497

Sole ProprietorNo

Enumeration DateMay 23, 2017

✔ NPI 1659808558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OH · APRNCNP020769✔ Licensed in KY · 3011176

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2080 ERION RD, Batavia, OH 45103

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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 Tara Nickum's NPI number?

The NPI number for Tara Nickum is 1659808558. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Tara Nickum located?

Tara Nickum practices at 2080 Erion Rd, Batavia, OH 45103. The listed phone number is (513) 403-4497.

What is Tara Nickum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tara Nickum was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.