TARA L DESO (NPI# 1306490396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306490396 |
Entity Type | Individual |
Full Name | TARA L DESO |
Other Name | TARA L MCCUE |
Credential | NP |
Practice Address |
385 Grove St Worcester MA 01605-3924 |
Mailing Address |
5 Neponset St Wot 2nd Fl, Ste C203 Worcester MA 01606-2714 |
Practice Telephone | 5085952000 |
Practice Fax Number | 5088537149 |
Mailing Telephone | 5085952000 |
Mailing Fax Number | 5088537149 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2020-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN284675 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110158765A | 05 |
Street Address |
385 GROVE ST |
City | WORCESTER |
State | MA |
Zip Code | 01605-3924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053397349 | Cara A Simpson | Nurse Practitioner | 385 Grove St, Worcester, MA 01605-3924 | 2005-12-19 |
1396027249 | Kathryn Jennifer Dugger | Nurse Practitioner | 385 Grove St, Worcester, MA 01605-3924 | 2011-09-16 |
1962673517 | Anesthesia Practice and Research Associates | Anesthesiology | 385 Grove St, Worcester, MA 01605-3924 | 2008-03-21 |
1871774174 | Surgical Eye Experts, LLC | Clinic/Center | 385 Grove St, Worcester, MA 01605-3924 | 2007-11-15 |
1265626493 | Aesclepion Healthcare LLC. | Internal Medicine | 385 Grove St, Worcester, MA 01605-3924 | 2007-08-30 |
1679603617 | Shiavax Cowasji | Internal Medicine | 385 Grove St, Worcester, MA 01605-3924 | 2007-03-07 |
1588792485 | Chadwick Ambulatory Care | Internal Medicine | 385 Grove St, Worcester, MA 01605-3924 | 2007-03-01 |
1194868034 | Chadwick Medical Associates, P.C. | Internal Medicine | 385 Grove St, Worcester, MA 01605-3924 | 2007-02-14 |
1184690992 | George Groussis | Internal Medicine | 385 Grove St, Suite 201, Worcester, MA 01605-3924 | 2006-02-23 |
1093786725 | Demos Agiomavritis Md PC | Internal Medicine | 385 Grove St, Suite 120, Worcester, MA 01605-3924 | 2006-01-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
Find all providers in zip 01605 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205334588 | Mary Torkornoo | Nurse Practitioner | 430 Massasoit Rd, Worcester, MA 01604-3546 | 2018-01-31 |
1083253355 | Kim Beaudry | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-01-03 |
1659732022 | Susan M. Mugford | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2016-03-14 |
1376927400 | Jennifer A. Stanhope | Nurse Practitioner | 630 Plantation St, Worcester, MA 01605-2038 | 2015-07-18 |
1649527037 | Krista Marshall | Nurse Practitioner | 277 E Mountain St, Worcester, MA 01606-1207 | 2012-08-06 |
1447366489 | Helen D. Gilbert | Nurse Practitioner | 72 Jaques Ave, Worcester, MA 01610-2476 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
1780228924 | Jeffrey J Benoit | Nurse Practitioner | 103 Upper Rd, Deerfield, MA 01342-9739 | 2019-10-31 |
1962064626 | Katharine Kingsley Campbell | Nurse Practitioner | 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 | 2019-07-02 |
1124502737 | Rebecca Gaffney | Nurse Practitioner | 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 | 2018-09-19 |
1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
1508374406 | Kristin Tyrrell Chouinard | Nurse Practitioner | Home Md, 75 Sylvan St., Danvers, MA 01923-0192 | 2018-01-14 |
1962921379 | Krysta L Doucette | Nurse Practitioner | 47 High Street Suite 101, North Andover, MA 01845-5201 | 2017-09-18 |
1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
1922546407 | Lisa Marie Joyce | Nurse Practitioner | 321 Manley St, West Bridgewater, MA 02379 | 2017-02-06 |
1891232906 | Stella Uchendu | Nurse Practitioner | 127 Grove St, Lynn, MA 01905-1615 | 2017-01-26 |
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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.