TAMARAH MASON (NPI# 1104867837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104867837 |
| Entity Type | Individual |
| Full Name | TAMARAH MASON |
| Credential | CRNP |
| Practice Address |
203 Vaughan Memorial Dr Selma AL 36701-6950 |
| Mailing Address |
Po Box 570 Selma AL 36702-0570 |
| Practice Telephone | 3343758007 |
| Practice Fax Number | 3345261849 |
| Mailing Telephone | 3343758007 |
| Mailing Fax Number | 3348774763 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-049707 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630900049 | 05 | |
| AL | BCBS | 511-52699 | 01 |
| AL | 630904049 | 05 | |
| AL | 630902049 | 05 |
| Street Address |
203 VAUGHAN MEMORIAL DR |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003863846 | Deidre J. Russell, M.d.,llc | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-05-27 |
| 1326608183 | Marjorie Ellen Mitchell | Nurse Practitioner | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2019-06-14 |
| 1164853099 | Helen Katherine Fancher | Nurse Practitioner | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2013-12-03 |
| 1245520063 | Selma Women's Health, LLC | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2011-04-13 |
| 1881851491 | Sean Brian Bohannon | Emergency Medicine | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2008-05-21 |
| 1336336452 | Turning Leaf Medical, Inc. | Obstetrics & Gynecology | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2007-10-02 |
| 1235339342 | Brent Booth Whiddon | Obstetrics & Gynecology | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2007-07-18 |
| 1669585576 | William Chester Deavor | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-08-16 |
| 1467565341 | Deidre Russell | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-08-16 |
| 1972550531 | W. C. Deavor, M.d.,p.c. | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-05-28 |
| Find all providers in the same location | ||||
| 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 | ||||
Please comment or provide details below to improve the information on TAMARAH MASON.
| 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.