Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265835102 Individual Practitioner Female Practitioner

Tammy Lynn Micco , NP

Nurse Practitioner • Canton, OH

Professional Overview & Biography Verified Profile Summary

Tammy Micco, NP is a registered healthcare professional specializing in Nurse Practitioner in Canton, OH. Practice services are available at 4650 HILLS AND DALES RD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4650 Hills And Dales Rd Nw

Canton, OH 44708

Telephone 3306499400
Fax 3306498059
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
62 Specialists

Practicing in Canton, OH (4294 Statewide)

Telehealth Adoption Rate
6.5% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP16567

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH 16567

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Number
16567 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Cathleen Turner , RD, LD

Dietitian, Registered - Nutrition, Renal

NPI 1053355495

Registered Dietitian, Licensed Dietitian

Dr. Bhavnish Bucktowarsing , MD

Internal Medicine - Nephrology

NPI 1235544198

Doctor of Medicine (M.D.)

Dr. Luis Soto , MD

Internal Medicine - Nephrology

NPI 1316943707

Doctor of Medicine (M.D.)

Rhonda Casto , FNP

Nurse Practitioner - Family

NPI 1396148235

Family Nurse Practitioner

Ellen Sours , RD, LD

Dietitian, Registered - Nutrition, Renal

NPI 1548296072

Registered Dietitian, Licensed Dietitian

Dr. Pramod Bhargava , MD

Internal Medicine - Nephrology

NPI 1568450534

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 14, 2019

Registered at 4650 HILLS AND DALES RD NW, CANTON, OH 44708 (Tel: 3306499400)

📍
Updated Business Mailing Address October 14, 2019

Registered at 4650 HILLS AND DALES RD NW, CANTON, OH 44708 (Tel: 3306499400)

NPI Profile Active October 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2014

Registered at 4689 FULTON DR NW, CANTON, OH 447182379 (Tel: 3306499400)

📍
Updated Business Mailing Address October 07, 2014

Registered at 4689 FULTON DR NW, CANTON, OH 447182379 (Tel: 3306499400)

👤
Provider Name / Credentials Updated October 07, 2014

Recorded as TAMMY MICCO, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2014

Nurse Practitioner (License #16567 in OH)

🟢
Initial NPI Registration & Enumeration October 07, 2014

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: 1265835102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2014
Last Update: October 14, 2019
Sole Proprietor: Yes

Mailing Address

4650 Hills And Dales Rd Nw

Canton, OH 44708

Phone: 3306499400

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.