TARA RAE SANDUSKY


Address: 1001 Towson Ave, Fort Smith, AR 72901-4921
Phone: 4794415005

TARA RAE SANDUSKY (NPI# 1063069326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063069326
Entity Type Individual
Full Name TARA RAE SANDUSKY
Other Name TARA RAE HATTABAUGH
Credential APRN
Practice Address 1001 Towson Ave
Fort Smith
AR 72901-4921
Practice Telephone 4794415005
Mailing Telephone 4794414000
Enumeration Date 2019-08-21
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
121897 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1001 TOWSON AVE
City FORT SMITH
State AR
Zip Code 72901-4921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053314203 Cygnet A Bise Physical Medicine & Rehabilitation 1001 Towson Ave, Fort Smith, AR 72901-4921 2005-05-23
1083259766 Mireya Adame Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-11-17
1891337275 Alicia Anne Schlesier Family Medicine 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-10-17
1811538424 Ashley Renee Calvillo Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-10-04
1588212575 Lino Lamb Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-09-03
1962975664 Thurithabhani Maechler Anesthesiology 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-01-04
1750856043 Baptist Health Services Internal Medicine 1001 Towson Ave, Fort Smith, AR 72901-4921 2018-10-12
1477039782 Baptist Health Regional Hospitals Psychiatric Unit 1001 Towson Ave, Fort Smith, AR 72901-4921 2018-07-19
1710463146 Baptist Health Regional Hospitals General Acute Care Hospital 1001 Towson Ave, Fort Smith, AR 72901-4921 2018-07-18
1124514328 Samantha Joann Shankle Registered Nurse 1001 Towson Ave, Fort Smith, AR 72901-4921 2018-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922627249 Vaibhav S Desai Student in an Organized Health Care Education/Training Program Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 2020-04-16
1689136475 Prudence Nassem Ipaye-adebiyi Student in an Organized Health Care Education/Training Program Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 2019-04-02
1134608961 Baptist Health Services Otolaryngology 520 Towson Ave, Suite A, Fort Smith, AR 72901 2018-08-13
1316426125 Baptist Health Services Internal Medicine 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 2018-08-13
1396224101 Baptist Health Services Internal Medicine 1001 Towson Ave Ste 100, Fort Smith, AR 72901 2018-08-13
1164901914 Baptist Health Services Internal Medicine 1001 Towson Ave Ste 200, Fort Smith, AR 72901 2018-08-13
1942789755 Baptist Health Services Counselor 1001 Towson Ave Ste 500, Fort Smith, AR 72901 2018-08-13
1669951315 Baptist Health Services Family Medicine 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 2018-08-13
1508345265 Baptist Health Services Internal Medicine 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 2018-08-13
1326527086 Baptist Health Services Family Medicine 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 2018-08-13
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922566785 Amanda Mcclure Nurse Practitioner 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 2019-03-11
1558856807 Elizabeth Eleanor Holmes Nurse Practitioner 4200 Jenny Lind Rd Ste A, Fort Smith, AR 72901-7632 2018-06-28
1790926475 Tracy R Harwood Nurse Practitioner 3505 S 79th St, Fort Smith, AR 72903-6250 2009-03-10
1811538424 Ashley Renee Calvillo Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-10-04
1588212575 Lino Lamb Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2019-09-03
1659838092 Andrew Marcus Dugan Nurse Practitioner 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 2019-02-21
1386137826 Amanda L Cole Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2018-06-10
1174021067 Jonathan David Schilling Nurse Practitioner 7301 Rogers Ave, Fort Smith, AR 72903-4100 2018-01-25
1144753302 Shawna Donaghue Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2017-04-05
1184165441 Nicole Reid Nurse Practitioner 1001 Towson Ave, Fort Smith, AR 72901-4921 2017-03-19
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Competitor

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City FORT SMITH
Zip Code 72901

Improve Information

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Dataset Information

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.

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