TARA I MCKENNA (NPI# 1417348558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417348558 |
| Entity Type | Individual |
| Full Name | TARA I MCKENNA |
| Other Name | TARA F ROY |
| Credential | APRN |
| Practice Address |
2531 White Mountain Hway Suite A White Mountain Medical Center Sanbornville NH 03872 |
| Practice Telephone | 6035220186 |
| Practice Fax Number | 6035223457 |
| Mailing Telephone | 6035220186 |
| Mailing Fax Number | 6035223457 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
054907-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3100493 | 05 |
| Street Address |
2531 WHITE MOUNTAIN HWAY SUITE A WHITE MOUNTAIN MEDICAL CENTER |
| City | SANBORNVILLE |
| State | NH |
| Zip Code | 03872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548829005 | Ashley Cochran | Physician Assistant | 2531 White Mountain Highway, Sanbornville, NH 03872 | 2019-06-10 |
| 1831420074 | Copp Hill Residential Home Fro Elderly | Custodial Care Facility | 176 Copp Hill Rd, Sanbornville, NH 03872 | 2010-01-28 |
| 1518040237 | Jean Marie Ball | Nurse Practitioner | 2531 White Mountain Highway (white Mtn. Medical Ctr.), Suite A, Sanbornville, NH 03872 | 2006-10-24 |
| 1245326743 | Kingson J Woo | Family Medicine | 2531 White Mountain Hway, Suite A, White Mountain Medical Center, Sanbornville, NH 03872 | 2006-10-04 |
| 1245274703 | Michael Vancleef Delahunt | Internal Medicine | 2531 White Mountain Highway, Suit A, Sanbornville, NH 03872 | 2006-06-15 |
| 1629059266 | Susan Lynn Rooks | Acupuncturist | 2531 White Mountain Highway, Suite A, White Mountain Medical Center, Sanbornville, NH 03872 | 2005-11-10 |
| 1104850742 | Richard Eastwood Wilson | Dentist | 45 Meadow Lane, Sanbornville, NH 03872-0005 | 2006-07-10 |
| 1114034790 | Jane E Silcocks | Chiropractor | 40 Province Lake Rd, Sanbornville, NH 03872-3900 | 2006-08-23 |
| 1023304631 | Heidi Dommers-palladino | Massage Therapist | 40 Province Lake Rd, Sanbornville, NH 03872-3900 | 2011-06-22 |
| 1174820864 | David Andrew Bille | Massage Therapist | 40 Province Lake Rd, Sanbornville, NH 03872-3900 | 2011-02-16 |
| Find all providers in zip 03872 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518040237 | Jean Marie Ball | Nurse Practitioner | 2531 White Mountain Highway (white Mtn. Medical Ctr.), Suite A, Sanbornville, NH 03872 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534864 | Jayme Newell | Nurse Practitioner | 73 Elanor Way, Weare, NH 03281-5560 | 2020-09-28 |
| 1417563560 | Virtualnp, LLC | Nurse Practitioner | 11 Melissa Dr, Nashua, NH 03062-3643 | 2020-09-23 |
| 1013523422 | Mood Clinic Pllc | Nurse Practitioner | 56 Durham Rd Unit 54, Dover, NH 03820-4478 | 2020-09-21 |
| 1720694334 | Alainna Belanger Drieze | Nurse Practitioner | 11 Fieldstone Dr, Londonderry, NH 03053-2700 | 2020-09-18 |
| 1316559073 | Lisa R Kailey | Nurse Practitioner | 49 Colt Ln, Epping, NH 03042-3142 | 2020-08-23 |
| 1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
| 1457962623 | Kelsey Kilgore | Nurse Practitioner | 175 Hurricane Hill Rd, Mason, NH 03048-3903 | 2020-08-12 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1629691894 | Johanna Rodriguez | Nurse Practitioner | 62 Albin Rd, Bow, NH 03304-3707 | 2020-05-22 |
| 1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
| City | SANBORNVILLE |
| Zip Code | 03872 |
Please comment or provide details below to improve the information on TARA I MCKENNA.
| 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.