TARA MARTIN (NPI# 1275765836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275765836 |
| Entity Type | Individual |
| Full Name | TARA MARTIN |
| Credential | LVN |
| Practice Address |
117 E Harry Bridges Blvd Wilmington CA 90744-5825 |
| Mailing Address |
Po Box 5796 Lancaster CA 93539-5796 |
| Practice Telephone | 3105498383 |
| Practice Fax Number | 3105499304 |
| Mailing Telephone | 6617231399 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| 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) |
188768 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922421098 | Tara Martin | Counselor | Hc 71 Box 1a, Soper, OK 74759-9721 | 2014-01-27 |
| 1770813297 | Tara Martin | Massage Therapist | 3181 Shaw St, Dupont, WA 98327-8763 | 2010-01-05 |
| 1689295248 | Tara Martin | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Physician Assistant Studies Msm, Atlanta, GA 30310-1458 | 2020-05-05 |
| 1912538943 | Tara Martin | Physical Therapist | 1601 Greenhouse Rd, Bentonville, AR 72713-9292 | 2020-01-29 |
| 1841757143 | Tara Martin | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2019-02-23 |
| 1093282386 | Tara Zoeann Martin | Pharmacist | 24 N Lime Ave, Sarasota, FL 34237-6120 | 2018-10-25 |
| 1336643105 | Tara Martin | Social Worker | 19500 Se Stark St, Portland, OR 97233-5757 | 2018-03-19 |
| 1306206396 | Tara Catherine Martin | Specialist/Technologist | 639 Howard Rd, West Point, NY 10996-1510 | 2016-03-03 |
| 1295126597 | Tara Martin | Speech-Language Pathologist | 55 Auburn Ave, Sierra Madre, CA 91024-1847 | 2015-02-09 |
| 1689086829 | Tara Martin | Speech-Language Pathologist | 1000 Eddy Street, Providence, RI 02905 | 2014-05-22 |
| Street Address |
117 E HARRY BRIDGES BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-5825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053322909 | Transcultural Health Development, Inc | Clinic/Center | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2006-08-10 |
| 1083264170 | Angelica Alvarez | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2019-09-19 |
| 1104485846 | Roxana Vianney Camacho | Licensed Vocational Nurse | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2019-06-06 |
| 1245799139 | Amy Coate | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2019-03-19 |
| 1225535628 | Paul Christopher Salazar | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2018-04-11 |
| 1730635103 | Valerie Hernandez | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2016-08-26 |
| 1699161661 | Nicole Richardson | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2015-04-07 |
| 1801238399 | Michael Anthony Cobos | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2013-07-24 |
| 1801197595 | Venido Cea | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2010-11-11 |
| 1013168517 | Angela Ellard | Counselor | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2008-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| 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 | 90744 |
Please comment or provide details below to improve the information on TARA MARTIN.
| 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.