TARA L DESO


Address: 385 Grove St, Worcester, MA 01605-3924
Phone: 5085952000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN284675 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110158765A 05

Office Location

Street Address 385 GROVE ST
City WORCESTER
State MA
Zip Code 01605-3924

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City WORCESTER
Zip Code 01605

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Dataset Information

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.

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