TARA P EVANS (NPI# 1275017683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275017683 |
| Entity Type | Individual |
| Full Name | TARA P EVANS |
| Practice Address |
2410 Belvidere Rd Waukegan IL 60085-6165 |
| Mailing Address |
5109 52nd Ave Kenosha WI 53144-4321 |
| Practice Telephone | 8473778686 |
| Mailing Telephone | 7739793188 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792522 | Tara Rae Evans | Nurse Practitioner | 612 N State Rd, Davison, MI 48423-3505 | 2017-11-01 |
| 1073832259 | Tara Elizabeth Evans | Occupational Therapist | 10219 Trailblazer Ln, Houston, TX 77064-7046 | 2010-05-27 |
| 1528327418 | Tara H Evans | Nurse Practitioner | 600 N Fant St, Anderson, SC 29621-5704 | 2012-05-11 |
| 1477683662 | Tara N. Evans | Physical Therapist | 400 N Morris St, Stoughton, WI 53589-1857 | 2007-03-06 |
| 1346337722 | Tara N Evans | Pathology | 10010 Kennerly Road, Dept of Pathology, Saint Louis, MO 63128-2106 | 2006-10-06 |
| Street Address |
2410 BELVIDERE RD |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-6165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477765741 | County of Lake | Community/Behavioral Health | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2007-05-07 |
| 1346850575 | Andrea Leilani Kowitz | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-08-03 |
| 1073173001 | Bianca Owolabi | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2019-06-20 |
| 1043750466 | Lauren Kraemer | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2017-03-04 |
| 1952847329 | Glenn Kerr | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2017-01-10 |
| 1225302375 | Claudia Elisabeth Vankoningsveld | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2012-03-06 |
| 1699049247 | Edward Esser | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2012-02-29 |
| 1639443567 | Andres Tellez | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2012-02-23 |
| 1366715286 | Amy Newsome | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2012-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679297 | Gina Marie Torre | Counselor | 2505 Washington St., Waukegan, IL 60085-6008 | 2020-08-14 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1013520873 | Steven C Poland | Counselor | 415 Washington St Ste 200, Waukegan, IL 60085-5564 | 2020-08-30 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1457962615 | Samantha Tomasello | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1346850575 | Andrea Leilani Kowitz | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-08-03 |
| 1962026971 | Jennifer Rae Flanagan | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-06-04 |
| 1548892417 | Akilah Yates | Counselor | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-02-10 |
| 1417587544 | Kaitlynn Elizabeth Martin | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-01-16 |
| 1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
| Find all providers in WAUKEGAN | ||||
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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.