MS. TARA NICOLE WILSON (NPI# 1174006035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174006035 |
| Entity Type | Individual |
| Full Name | MS. TARA NICOLE WILSON |
| Credential | PA-C |
| Practice Address |
110 Irving Sreet Nw Room 4b-42 Washington DC 20010-2975 |
| Mailing Address |
423 E Beaver St Zelienople PA 16063-1201 |
| Practice Telephone | 7248316122 |
| Mailing Telephone | 7248316122 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740640762 | Tara Starr Wilson | Licensed Practical Nurse | 3011 Ferguson Rd, 2, Cincinnati, OH 45238-2430 | 2016-03-03 |
| 1558700336 | Tara Ann Wilson | Counselor | 309 West 3, Rushville, NE 69360-0779 | 2013-06-14 |
| 1487292249 | Tara Frances Wilson | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2019-12-11 |
| 1003134347 | Tara Jene Wilson | Specialist/Technologist, Other | 9800 Centre Pkwy, 530, Houston, TX 77036-8271 | 2010-05-11 |
| 1033446877 | Tara Marie Wilson | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2009-11-16 |
| 1386886620 | Tara M Wilson | Specialist/Technologist, Other | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2009-04-01 |
| 1811159106 | Tara Sansone Wilson | Physical Medicine & Rehabilitation | 11539 Park Woods Cir, Suite 502, Alpharetta, GA 30005-4413 | 2008-06-27 |
| 1922176429 | Tara Beth Wilson | Surgery | 1809 E 13th St, Suite 400, Tulsa, OK 74104-4419 | 2006-12-01 |
| 1194899740 | Tara D Wilson | Emergency Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-11-17 |
| 1083790323 | Tara L Wilson | Dentist | 5710 Whitmore Lake Rd, Brighton, MI 48116-1902 | 2006-10-30 |
| Street Address |
110 IRVING SREET NW ROOM 4B-42 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.