TARA M. BAUTISTA (NPI# 1205219375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205219375 |
| Entity Type | Individual |
| Full Name | TARA M. BAUTISTA |
| Credential | CNP |
| Practice Address |
5555 Cleveland Ave Columbus OH 43231-4048 |
| Mailing Address |
5400 Frantz Rd Ste 250 Dublin OH 43016-6102 |
| Practice Telephone | 6147885280 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.17460-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Memorial Dr, Lancaster, OH 431304361 | 7406532631 |
| Street Address |
5555 CLEVELAND AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43231-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277039 | Glenn R. Williams Jr. | Family Medicine | 5555 Cleveland Ave, Columbus, OH 43231-4048 | 2005-06-30 |
| 1598289217 | Ohiohealth Employer Services, LLC | Physician Assistant | 5555 Cleveland Ave, Columbus, OH 43231-4048 | 2017-08-03 |
| 1508277658 | Zoraida Quintana | Pharmacist | 5555 Cleveland Ave, Columbus, OH 43231-4048 | 2014-05-12 |
| 1730202094 | Gregory B Young | Pharmacist | 5555 Cleveland Ave, Columbus, OH 43231 | 2007-04-09 |
| 1215077714 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 5555 Cleveland Ave, Columbus, OH 43231-4048 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1487147450 | Kelley Penny | Counselor | 5925 Cleveland Ave., Suite B, Columbus, OH 43231 | 2018-06-13 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| 1184113961 | Leslie Clark-felder | Community/Behavioral Health | 2525 Tiller Lane Ste110, Columbus, OH 43231 | 2018-05-07 |
| 1619466893 | Michael Henry II | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-03 |
| 1578051983 | Rhonda Clark | Community/Behavioral Health | 2525 Tiller Lane Lane Ste 110, Columbus, OH 43231 | 2018-05-01 |
| 1053819003 | Best Sunshine Transportation | Non-emergency Medical Transport (VAN) | 3434 Bufford Ct, Columbus, OH 43231 | 2018-01-24 |
| 1598275927 | Katherine Elaine Prater | Counselor | 5925 Cleveland Ave Ste B, Columbus, OH 43231 | 2017-10-12 |
| 1386164259 | Sento None Jah | Licensed Practical Nurse | 3088 Prosperity Lane, Columbus, OH 43231 | 2017-06-22 |
| 1528596749 | Yolanda Lawrence | Licensed Practical Nurse | 2916 Kilbourne Ave, Columbus, OH 43231 | 2017-06-01 |
| Find all providers in zip 43231 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.