TARA DANIELLE NIELSEN (NPI# 1447687553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447687553 |
| Entity Type | Individual |
| Full Name | TARA DANIELLE NIELSEN |
| Credential | FNP-BC, APNP |
| Practice Address |
2542 Wynfield Drive Racine WI 53406-1897 |
| Mailing Address |
3710 57th Ave Kenosha WI 53144-4820 |
| Practice Telephone | 2628805359 |
| Mailing Telephone | 2628805359 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5430-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720348667 | Tara Anne Nielsen | Obstetrics & Gynecology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2012-05-25 |
| Street Address |
2542 WYNFIELD DRIVE |
| City | RACINE |
| State | WI |
| Zip Code | 53406-1897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609412071 | Emily Patzer | Nurse Practitioner | 2505 Iris Ct, Racine, WI 53402-1437 | 2019-11-20 |
| 1134681075 | Margaret Gail Pratt | Nurse Practitioner | 533 River Rd, Racine, WV 25165-9533 | 2019-04-01 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1205071743 | Junetta A Maynard | Nurse Practitioner | 51090 Portland Rd, Racine, OH 45771-9706 | 2008-12-12 |
| 1447863378 | Megan K Painter | Nurse Practitioner | 2333 Northwestern Ave, Racine, WI 53404-2520 | 2020-08-29 |
| 1003426354 | Erin Elizabeth Scheffer | Nurse Practitioner | 3 Birchwood Ct, Racine, WI 53402-2601 | 2020-08-02 |
| 1518432954 | Nicole Rae Humphrey | Nurse Practitioner | 207 5th St, Racine, OH 45771 | 2018-10-12 |
| 1750872438 | Maria Elena Godines | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403 | 2018-05-29 |
| 1679091185 | Laura Ann Kresch | Nurse Practitioner | 4700 21st St, Racine, WI 53406-5031 | 2017-09-05 |
| 1386020410 | Elizabeth Louise Retherford | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-07-30 |
| Find all providers in RACINE | ||||
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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.