TARA JOAN (NPI# 1063979896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063979896 |
| Entity Type | Individual |
| Full Name | TARA JOAN |
| Credential | ANP AND GNP |
| Practice Address |
2015 Grand Concourse Bronx NY 10453-4303 |
| Mailing Address |
1434 Williamsbridge Rd Fl 2 Bronx NY 10461-2507 |
| Practice Telephone | 7182997295 |
| Practice Fax Number | 7182996797 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 3474791303 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F302878 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340417 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2015 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680389 | Lewis Rogatnick | General Practice | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2005-06-28 |
| 1750982807 | Muhammad Imran Mir | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-11-05 |
| 1841890712 | Enerolisa Paredes | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-29 |
| 1174123574 | Harriet Adwoa Yeboah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1386244663 | Kimberly Harrison | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1992304604 | Angelique Saavedra | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-23 |
| 1528667847 | Isabel Acosta | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-19 |
| 1639776388 | Chelsea Onuorah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-06 |
| 1356948434 | Franciou Philippeau | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-02 |
| 1023625639 | Anisa Philia Nervais | Registered Nurse | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1205449113 | Alexandra Gomez | Nurse Practitioner | 2521 Hone Ave, Bronx, NY 10469-4401 | 2020-08-29 |
| 1457979510 | Judith Brady | Nurse Practitioner | 3240 Paulding Ave, Bronx, NY 10469-3843 | 2020-07-06 |
| 1023650850 | Andrew Lai | Nurse Practitioner | 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 | 2019-10-14 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1649794744 | Natasha Ann Pinheiro | Nurse Practitioner | 441 E Fordham Rd Lowr Level, Bronx, NY 10458-5149 | 2017-07-31 |
| 1467984633 | Analiza Benjamin | Nurse Practitioner | 1930 Mulford Ave, Bronx, NY 10461-4009 | 2017-03-28 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1790113355 | Marisa Brown | Nurse Practitioner | 245 Admiral Ln, Bronx, NY 10473-2446 | 2013-10-17 |
| 1568704591 | Sophia Nurani | Nurse Practitioner | 3144 3rd Ave, Bronx, NY 10451-4629 | 2013-03-15 |
| Find all providers in BRONX | ||||
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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.