TARA B PICKENS


Address: 401 Matthew St Ste 200, Marietta, OH 45750-1635
Phone: 7403761994

TARA B PICKENS (NPI# 1487006912) 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) 1487006912
Entity Type Individual
Full Name TARA B PICKENS
Credential FNP-C
Practice Address 401 Matthew St Ste 200
Marietta
OH 45750-1635
Mailing Address Po Box 449
Marietta
OH 45750-0449
Practice Telephone 7403761994
Practice Fax Number 7403747701
Mailing Telephone 7403744500
Mailing Fax Number 7403745887
Enumeration Date 2016-07-08
Last Update Date 2020-08-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APRN.CNP.019354 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0176082 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1106 Colegate Dr, Marietta, OH 457501323 7403747700 7403747701

Office Location

Street Address 401 MATTHEW ST STE 200
City MARIETTA
State OH
Zip Code 45750-1635

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073111654 Mary V Byrd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37 Sterling Rd, Marietta, OH 45750 2020-10-15
1356997522 Jeffry Todd Arthur Pharmacist 401 Matthew Street Suite 100, Marietta, OH 45750 2019-08-14
1164965752 Jennifer Ann Simmons Counselor 121 Putnam St, Marietta, OH 45750 2016-11-30
1811449010 Kaylee Rebecca-ann Weihl Counselor 207 D Colegate Drive, Marietta, OH 45750 2016-11-04
1467802181 Jody Alden Registered Nurse 342 Muskingum Dr., Marietta, OH 45750 2016-06-14
1073998944 Rise A. Gibson Dental Hygienist 342 Muskingum Drive, Marietta, OH 45750 2015-07-21
1639559602 Washington County Board of Developmental Dissabilities Day Training, Developmentally Disabled Services 1701 Colegate Dr., Marietta, OH 45750 2015-06-04
1902290406 Irina Catanescu Emergency Medicine 401 Matthew Street, Emergency Department, Marietta, OH 45750 2015-03-23
1134520356 Susan Jahn Occupational Therapist 1338a Colegate Dr, Marietta, OH 45750 2014-09-08
1740696087 Melissa D Maston Registered Nurse Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 2014-07-08
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629677455 Amy Lynn Patterson Nurse Practitioner 254 Senna St, Marietta, GA 30064-4417 2020-10-22
1356996748 Katrina Nicole Likes Nurse Practitioner 2965 Johnson Ferry Rd Ste D, Marietta, GA 30062-8364 2019-08-02
1205488822 Deborah Patterson Ott Nurse Practitioner 1165 Timberland Dr Se, Marietta, GA 30067-5120 2019-07-13
1922664754 Amanda Lynn Mcelheney Nurse Practitioner 1997 Cheatham Woods Dr Sw, Marietta, GA 30008-4451 2019-05-16
1477020295 Candi Holyfield Nurse Practitioner 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 2018-10-30
1346755998 Allen Surgical LLC Nurse Practitioner 3689 Mountain Rd Ne, Marietta, GA 30066-2411 2017-12-05
1437660305 Tara Randall Nurse Practitioner 2810 Tanner Lake Trl Nw, Marietta, GA 30064-1200 2017-10-19
1528420452 Shakia Frisby Nurse Practitioner 124 Powers Ferry Rd Se Ste E, Marietta, GA 30067-7579 2016-03-21
1912371782 Renee Bateman Brown Nurse Practitioner 488 Kennesaw Ave Nw Ste 200, Marietta, GA 30060 2015-11-17
1669808374 Melissa Lamb Kiser Nurse Practitioner 3430 Weymouth Ct, Marietta, GA 30062-4287 2013-09-26
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Competitor

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City MARIETTA
Zip Code 45750

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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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