TARA ANDERSON (NPI# 1235600297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235600297 |
| Entity Type | Individual |
| Full Name | TARA ANDERSON |
| Practice Address |
6321 New Utrecht Ave Fl 2 Brooklyn NY 11219-5425 |
| Practice Telephone | 2126877464 |
| Practice Fax Number | 7187991049 |
| Mailing Telephone | 2126877464 |
| Mailing Fax Number | 7187991049 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 758042 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1225553944 | Tara Anderson | Respiratory Therapist, Registered | 7611 Parkridge Way, Savage, MN 55378-1747 | 2017-08-03 |
| 1649636788 | Tara Anderson | Acupuncturist | 1500 Graham Hill Rd Ste A, Santa Cruz, CA 95060-1349 | 2016-01-05 |
| 1144565169 | Tara Jo Anderson | Acupuncturist | 3118 Kimball Ave, Waterloo, IA 50702-5253 | 2012-12-03 |
| 1770736993 | Tara Letitia Anderson | Counselor | 3312 Surf Avenue, Jbfcs, Brooklyn, NY 11224 | 2008-10-31 |
| 1811165780 | Tara Anderson | Specialist | 7846 Golf Point Dr Se, Caledonia, MI 49316-7779 | 2008-02-13 |
| 1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
| 1831710599 | Tara Ann Anderson | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-05-04 |
| 1295355378 | Tara Anderson | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-20 |
| 1215499413 | Tara L Anderson | Counselor | 130 Southern School Rd, Somerset, KY 42501-3223 | 2019-04-05 |
| Street Address |
6321 NEW UTRECHT AVE FL 2 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111912 | Elaine Scott | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-01 |
| 1528530250 | Tandi Mitchell | Registered Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-12-19 |
| 1033680061 | Funmi Soda | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-12-17 |
| 1740751825 | Ashley Rochelle Jackson | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-12-16 |
| 1336618057 | Nicole Oliver | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-26 |
| 1821568585 | Amy Xie | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-26 |
| 1497223036 | Abigail Ali Musah | Registered Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901456 | Raven Nichole Bagy | Licensed Practical Nurse | 45 Twin Pines Dr Apt 10a, Brooklyn, NY 11239-1804 | 2020-10-26 |
| 1982203998 | Troy Conliffe | Licensed Practical Nurse | 180 E 17th St, Brooklyn, NY 11226-4668 | 2020-10-21 |
| 1588263883 | Kimberley Wiltshire | Licensed Practical Nurse | 1336 President St, Brooklyn, NY 11213-4238 | 2020-10-19 |
| 1053919639 | Elna Remy | Licensed Practical Nurse | 1639 Hendrickson St, Brooklyn, NY 11234-4315 | 2020-10-15 |
| 1518565183 | Tamara Jessica Lawrence | Licensed Practical Nurse | 1482 Lincoln Pl Apt 7, Brooklyn, NY 11213-4137 | 2020-10-15 |
| 1740896414 | Sarahbeth Boyd | Licensed Practical Nurse | 196 Rockaway Pkwy, Brooklyn, NY 11212-3400 | 2020-09-18 |
| 1205441540 | Ademola Ojo-adesoye | Licensed Practical Nurse | 381 Milford St, Brooklyn, NY 11208-3853 | 2020-09-14 |
| 1366057614 | Jacqueline Bourdeau | Licensed Practical Nurse | 2415 Newkirk Ave, Brooklyn, NY 11226-7622 | 2020-09-14 |
| 1194339572 | Elveta Bamberry | Licensed Practical Nurse | 596 E 87th St, Brooklyn, NY 11236-3229 | 2020-09-03 |
| 1508479650 | Ivrance Petigny | Licensed Practical Nurse | 8419 Avenue N, Brooklyn, NY 11236-5109 | 2020-08-28 |
| Find all providers in BROOKLYN | ||||
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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.