TARA L. DEACON


Address: 1215 Lee St, 2nd Floor, Charlottesville, VA 22908-0001
Phone: 4342434520

TARA L. DEACON (NPI# 1417316431) 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) 1417316431
Entity Type Individual
Full Name TARA L. DEACON
Credential PA
Practice Address 1215 Lee St
2nd Floor
Charlottesville
VA 22908-0001
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4342434520
Practice Fax Number 4349821998
Enumeration Date 2016-02-18
Last Update Date 2016-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0110005225 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1215 LEE ST
2ND FLOOR
City CHARLOTTESVILLE
State VA
Zip Code 22908-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760486328 Kirk W Tanner Nurse Anesthetist, Certified Registered 1215 Lee St, Charlottesville, VA 22908-0816 2005-06-10
1801493283 Angela Jewell Strickler Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-10-08
1629675475 Kimberlee M Mauck Physician Assistant 1215 Lee St, Charlottesville, VA 22908-0816 2020-10-05
1407463953 Amy Johnston Clinical Nurse Specialist 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-29
1194332882 Mihwa Ahn Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-26
1346856721 Farren Hume Dodson Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-21
1003422619 Darlene Acero Dietitian, Registered 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-18
1689289571 Erin Harr Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-09
1518572460 Juan Pablo Sardi Restrepo Student in an Organized Health Care Education/Training Program 1215 Lee St, Mail Stop 800212, Charlottesville, VA 22908-0816 2020-09-08
1366055956 Erin Louise Tennyson Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-08-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568020410 Alexis Evans Physician Assistant 1215 Lee St Nnicu, Charlottesville, VA 22908 2019-06-04
1649702317 Ryan Aschenbrener Student in an Organized Health Care Education/Training Program 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 2017-03-31
1215399241 Katherine Gresham Belote Student in an Organized Health Care Education/Training Program 1221 Lee Street Uva Health System, Charlottesville, VA 22908 2016-03-29
1851776215 Catherine Meller Student in an Organized Health Care Education/Training Program 1215 Lee St., Box 800713, Charlottesville, VA 22908 2015-07-28
1295112597 Breanna Campbell Internal Medicine 1220 Lee St Ste 2401, Charlottesville, VA 22908 2015-05-06
1013255637 Melinda Bowles-childress Nurse Practitioner 1 Hospital Dr Fl 1, Charlottesville, VA 22908 2013-01-17
1053521757 Univeristy of Virginia Health System General Acute Care Hospital University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 2007-05-23
1730241282 Imre Noth Internal Medicine 1221 Lee St Fl 2, Charlottesville, VA 22908 2006-12-14
1023185394 Tamer Ghanem Otolaryngology Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 2006-11-29
1366401242 Lisa M Christianson Obstetrics & Gynecology Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 2006-03-21
Find all providers in zip 22908

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861881682 Nicholas F. Calabrese Physician Assistant 545 Ray C. Hunt Dr., Charlottesville, VA 22903-7851 2015-01-16
1366585952 Alyssa Benning Physician Assistant 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 2007-02-14
1851370589 Gina L. Mitchell Physician Assistant 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 2006-01-11
1104283365 Kaylyn A. Jackson Physician Assistant 1221 Lee St, 2nd Floor, Charlottesville, VA 22908-0001 2016-01-19
1073916045 Kristin L Lilly Physician Assistant 1215 Lee St Fl 2, Charlottesville, VA 22908-0816 2014-10-03
1023410248 Bryan V. Anderson Physician Assistant 1215 Lee St, Charlottesville, VA 22908-0001 2014-09-18
1790100964 John R. Curry Physician Assistant Hospital Dr, 4th Floor, Charlottesville, VA 22908-0001 2014-02-25
1962827139 Danielle A. Moses Physician Assistant Lee St Fl 2, Charlottesville, VA 22908-0001 2014-02-25
1538584057 Eileen C. Dearth Physician Assistant 1215 Lee St Fl 2, Charlottesville, VA 22908-0001 2014-02-20
1235561135 Claire B. Denny Physician Assistant 545 Ray C. Hunt Drive, Charlottesville, VA 22906-0001 2013-08-01
Find all providers in CHARLOTTESVILLE

Competitor

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City CHARLOTTESVILLE
Zip Code 22908

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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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