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

Mrs. Tara K Piccolo, MSN, NNP-BC

Individual provider Neonatal Nurse Practitioner · NPI 1023757812

Mrs. Tara K Piccolo, MSN, NNP-BC is a Nurse Practitioner in Stony Brook, New York. Qualified in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

See every abbreviation used in this directory →

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-2710
Fax: (631) 444-7865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 350558 (NY)

Record details

NPI number1023757812
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , NNP-BC
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Stony Brook