TIARA TATE (NPI# 1235537630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235537630 |
| Entity Type | Individual |
| Full Name | TIARA TATE |
| Practice Address |
1911 S 17th St Suite 100 Wilmington NC 28401-6662 |
| Practice Telephone | 9107919625 |
| Practice Fax Number | 9106414177 |
| Mailing Telephone | 9107919625 |
| Mailing Fax Number | 9106414177 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20737 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
11295 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841661188 | Tiara Tate | Behavioral Analyst | 1735 N Nellis Blvd Ste A, Las Vegas, NV 89115-3670 | 2015-10-13 |
| Street Address |
1911 S 17TH ST SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010105 | Katie O Gilbert | Family Medicine | 1911 S 17th St, Wilmington, NC 28401-6662 | 2005-06-02 |
| 1588105001 | Atkins Family Practice Pa | Physician Assistant | 1911 S 17th St, Ste 130a, Wilmington, NC 28401-6662 | 2017-03-16 |
| 1427321918 | Jacqueline M Cowell | Physician Assistant | 1911 S 17th St, Suite 130a, Wilmington, NC 28401-6663 | 2012-02-15 |
| 1326320334 | Amy Lynn Lesane | Counselor | 1911 S 17th St, Wilmington, NC 28401-6662 | 2011-09-15 |
| 1497994099 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1911 S 17th St, Suite 100, Wilmington, NC 28401-6662 | 2009-02-05 |
| 1659547230 | Celeste M Cianciulli | Counselor | 1911 S 17th St, Wilmington, Wilmington, NC 28401-6662 | 2008-05-05 |
| 1033255252 | Wendy Yvonne Shropshire-atkins | Family Medicine | 1911 S 17th St, Suite 130a, Wilmington, NC 28401-6662 | 2007-01-29 |
| 1720131329 | Bruce M Chapman Dpm Pa | Podiatrist | 1911 S 17th St, Suite 130-b, Wilmington, NC 28401-6662 | 2007-01-19 |
| 1427101070 | Abrons Family Practice and Urgent Care, P.a. | Family Medicine | 1911 S 17th St, Suite 130-a, Wilmington, NC 28401-6662 | 2007-01-18 |
| 1952458820 | Deborah Rosalie Ross | Psychiatry & Neurology | 1911 S 17th St, Suite 100, Wilmington, NC 28401-6662 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443734 | Haylee Allen | Counselor | 2515 Costmary Ln Unit 11, Wilmington, NC 28412-2448 | 2020-10-08 |
| 1174130686 | Devan James Carroll | Counselor | 311 Judges Rd Ste E, Wilmington, NC 28405-3651 | 2020-09-29 |
| 1891306833 | Kyara Panula Beck | Counselor | 1104 N Adams St, Wilmington, DE 19801-1327 | 2020-08-13 |
| 1205447679 | Outreach Recovery II | Counselor | 1007 N Orange St Fl 4, Wilmington, DE 19801-1242 | 2020-08-11 |
| 1861010183 | Charles Franklin Lyon | Counselor | 3805 New Holland Dr, Wilmington, NC 28412-7155 | 2020-07-13 |
| 1407478092 | Samantha Renee Lomske | Counselor | 48 Randolph St, Wilmington, OH 45177-2731 | 2020-05-18 |
| 1659908853 | Andrena Caroline Cooley | Counselor | 3420 Wrightsville Ave, Wilmington, NC 28403-4118 | 2020-03-26 |
| 1376026559 | Debra Joy Frump | Counselor | 232 N South St, Wilmington, OH 45177-1649 | 2018-09-13 |
| 1831671791 | Kristin Jones | Counselor | 2206a Wrightsville Ave, Wilmington, NC 28403-2406 | 2018-09-06 |
| 1043798853 | Shareeda Cephas | Counselor | 2507 W 6th St, Wilmington, DE 19805-2908 | 2018-08-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on TIARA TATE.
| 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.