TACARLA SHANTESE PEARSON (NPI# 1023592045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023592045 |
| Entity Type | Individual |
| Full Name | TACARLA SHANTESE PEARSON |
| Credential | CRNP |
| Practice Address |
1023 Medical Center Pkwy Ste 200 Selma AL 36701-7739 |
| Practice Telephone | 3348754184 |
| Mailing Telephone | 3348754184 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-139543 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 Medical Center Pkwy, Selma, AL 367016748 | 3344184100 |
| Street Address |
1023 MEDICAL CENTER PKWY STE 200 |
| City | SELMA |
| State | AL |
| Zip Code | 36701-7739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578525291 | Tiffani N Maycock | Family Medicine | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2006-04-06 |
| 1154949543 | Munazzah Abdullah | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-07-11 |
| 1740804848 | Diedra Michelle Joseph Baker | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-06-04 |
| 1093335945 | Sheriff Olufemi Shittu | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-21 |
| 1063032969 | Christopher Reyes Caangay | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-21 |
| 1790304681 | Letitia Jackson | Student in an Organized Health Care Education/Training Program | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2020-04-10 |
| 1508316019 | Nishant Sharma | Family Medicine | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-6780 | 2016-10-07 |
| 1972766095 | Eric Boyd Wells | Family Medicine | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538793765 | Janessa Lavane Webster | Nurse Practitioner | 16820 Dancing Ava Unit 4, Selma, TX 78154-3576 | 2020-02-26 |
| 1861022030 | Terrika Anderson-cook | Nurse Practitioner | 48 County Road 444, Selma, AL 36701-8887 | 2020-01-16 |
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1881163087 | Rebecca Elaine Castro Rios | Nurse Practitioner | 5016 E Fm 1518 N, Selma, TX 78154-1360 | 2018-11-16 |
| 1053891986 | Loren M Gorman | Nurse Practitioner | 209 Stampede Rnch, Selma, TX 78154-1966 | 2018-08-20 |
| 1659893469 | Letevia Herlong | Nurse Practitioner | 713 J L Chestnut Boulevard, Selma, AL 36702 | 2017-07-13 |
| 1205292984 | Mary Chelimo Kipchumba | Nurse Practitioner | 1475 Al Highway 14 E, Selma, AL 36703-2996 | 2016-01-11 |
| 1467821157 | Francis Nicole Vogler | Nurse Practitioner | 1023 Medical Center Pkwy Ste 401, Selma, AL 36701-6712 | 2015-09-23 |
| 1376976183 | Breena Reid Till | Nurse Practitioner | 713 J L Chestnut Blvd, Selma, AL 36702-2213 | 2013-08-15 |
| 1164406757 | Arlene Shipman | Nurse Practitioner | 3275 Mccall Ave, Selma, CA 93662-2551 | 2005-12-06 |
| Find all providers in SELMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.