Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Tremblay, MSN

Individual provider Registered Nurse · NPI 1598521767

Mr. Timothy Tremblay, MSN is a Nurse Practitioner in Newark, Ohio. Qualified in 2023, 3 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2024
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1320 W Main St
Newark, OH 43055-3699
Phone: (220) 564-4220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0036256 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN287419 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0036256 (OH)

Record details

NPI number1598521767
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN
Sole proprietorYes
NPI enumeratedFebruary 26, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address1980 Tamarack Rd, Newark, OH 43055-1363

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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