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Active NPI 1255375366 Individual Practitioner Female Practitioner

Tanika R Bolar-Byrd , BS

Licensed Practical Nurse • Cornelius, NC

Professional Overview & Biography Verified Profile Summary

Tanika Bolar-Byrd, BS is a registered healthcare professional specializing in Licensed Practical Nurse in Cornelius, NC. Practice services are available at 9802 PENN STATION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9802 Penn Station St

Cornelius, NC 280318181

Telephone 7048963592
Associated Practice Facility / Clinic
🏢 Essential Health Care Facility NPI 1932438546

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Cornelius, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Cornelius, NC (706 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NC 164W00000X

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Practical Nurse
231137 (NY)
Commercial Insurance / Payer ID Licensed Practical Nurse
060162 (NC)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 29, 2017

Registered at PO BOX 1110, ALBANY, NY 122011110

📍
Updated Practice Location November 29, 2017

Registered at 9802 PENN STATION ST, CORNELIUS, NC 280318181 (Tel: 7048963592)

👤
Provider Name / Credentials Updated November 29, 2017

Recorded as TANIKA BOLAR-BYRD, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Licensed Practical Nurse (License #164W00000X in NC)

NPI Profile Active January 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2013

Registered at 9802 PENN STATION ST, CORNELIUS, NC 280318181 (Tel: 7048963592)

📍
Updated Business Mailing Address January 09, 2013

Registered at PO BOX1367, CORNELIUS, NC 280318181 (Tel: 7048195676)

👤
Provider Name / Credentials Updated January 09, 2013

Recorded as TANIKA BOLAR, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2013

Licensed Practical Nurse (License #164W00000X in NC)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255375366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: November 29, 2017
Sole Proprietor: No

Mailing Address

Po Box 1110

Albany, NY 122011110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.