MRS. TARA NICHOLE MEREDITH (NPI# 1164824421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164824421 |
| Entity Type | Individual |
| Full Name | MRS. TARA NICHOLE MEREDITH |
| Other Name | MISS TARA NICHOLE BLACKMON |
| Credential | ACNP-C |
| Practice Address |
3 Richland Medical Park Dr Suite 310 Columbia SC 29203-6849 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034348323 |
| Practice Fax Number | 8034348326 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032937330 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
18921 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3137 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666005 | Tara Meredith | Physical Therapist | 200 Hospital Drive Ste 400, Glen Burnie, MD 21061-5884 | 2015-08-11 |
| 1215560677 | Tara Meredith | Pediatrics | 718 Goodwin Ln, Leitchfield, KY 42754-1400 | 2020-02-13 |
| Street Address |
3 RICHLAND MEDICAL PARK DR SUITE 310 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943000 | Promila B Rao | Internal Medicine | 3 Richland Medical Park Dr, Suite 510, Columbia, SC 29203-6849 | 2005-12-16 |
| 1316581135 | Madison L Bryant | Nurse Practitioner | 3 Richland Medical Park Dr, Columbia, SC 29203-6849 | 2019-11-05 |
| 1831625458 | Tamika Singleton | Nurse Practitioner | 3 Richland Medical Park Dr, Suite 510, Columbia, SC 29203-6849 | 2017-05-02 |
| 1669911087 | Andrea Griffin | Nurse Practitioner | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2017-02-17 |
| 1801331830 | Sarah Dorey | Nurse Practitioner | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2016-12-29 |
| 1679935514 | Michael Daris Sullivan | Nurse Practitioner | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2016-03-21 |
| 1245698232 | Brandi Martinez | Nurse Practitioner | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2016-02-04 |
| 1962827063 | Providence Orthopedic Group, LLC | Orthopaedic Surgery | 3 Richland Medical Park Dr, Suite 120, Columbia, SC 29203-6849 | 2014-02-26 |
| 1801136379 | Patrick Jason Todd | Nurse Practitioner | 3 Richland Medical Park Dr, Suite 330, Columbia, SC 29203-6849 | 2013-02-21 |
| 1073858825 | Palmetto Health | Neurological Surgery | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314393 | Tamika Scott | Nurse Practitioner | 10840 Little Patuxent Pkwy Ste 105, Columbia, MD 21044-3254 | 2019-12-27 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1518473115 | Takeela Kinard | Nurse Practitioner | 1842 St Michaels Rd, Columbia, SC 29210-6140 | 2017-12-18 |
| 1629503594 | Jennifer Junior | Nurse Practitioner | 2170 Walker Solomon Way, Columbia, SC 29204-1130 | 2017-04-27 |
| 1013454073 | Chekita Rena Legette | Nurse Practitioner | Baptist Inpatient Medical, Taylor @ Marion Street, Columbia, SC 29220-0001 | 2017-01-27 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1851753107 | Irene James-frazer | Nurse Practitioner | 1494 Lake Murray Blvd Fl 2, Columbia, SC 29212-8697 | 2016-03-25 |
| 1396169587 | Mobile Medical Care | Nurse Practitioner | 2504 Cayer Ln, Suite C, Columbia, TN 38401-7383 | 2014-02-10 |
| 1669789434 | Kayla B Butler | Nurse Practitioner | 218 Ashley Place Rd, Columbia, SC 29229-9628 | 2010-09-01 |
| 1639337009 | Katie G. Roach | Nurse Practitioner | 1819 Marshall St, Columbia, SC 29203-6907 | 2008-06-02 |
| Find all providers in COLUMBIA | ||||
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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.