TARA WALKER (NPI# 1558393751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558393751 |
| Entity Type | Individual |
| Full Name | TARA WALKER |
| Credential | DA |
| Practice Address |
14155 N 83rd Ave Suite #110 Peoria AZ 85381-5639 |
| Practice Telephone | 6232150911 |
| Practice Fax Number | 6232150912 |
| Mailing Telephone | 6232150911 |
| Mailing Fax Number | 6232150912 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
PA04688 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601638 | Tara Nichole Walker | Family Medicine | 1724 Kenton Street, Suite #1b, Hopkinsville, KY 42240-1981 | 2020-02-18 |
| 1689131989 | Tara Walker | Assisted Living Facility | 7774 Cherrywood Cir, Anchorage, AK 99507-2973 | 2019-02-23 |
| 1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
| 1962772087 | Tara Lee Walker | Rehabilitation Practitioner | 912 Eugene Cernan St, Las Vegas, NV 89145-6129 | 2012-01-05 |
| 1952436461 | Tara Walker | Psychiatry & Neurology | 113 Cane Cir, Morehead City, NC 28557-9690 | 2007-02-23 |
| 1730798950 | Tara Walker | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913-4604 | 2020-07-23 |
| 1013471549 | Tara Joelle Walker | Counselor | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2019-01-29 |
| 1891274163 | Tara Marie Walker | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-08-08 |
| 1891298782 | Tara Walker | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-16 |
| 1982107512 | Tara Walker | Social Worker | 14 S Paint St, Chillicothe, OH 45601-3203 | 2018-03-09 |
| Street Address |
14155 N 83RD AVE SUITE #110 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600884 | North Valley Dermatology LLC | Dermatology | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5639 | 2005-12-15 |
| 1134753312 | Terri L Payne | Nurse Practitioner | 14155 N 83rd Ave, Peoria, AZ 85381-5639 | 2020-02-27 |
| 1932608106 | Star Clinic LLC | Anesthesiology | 14155 N 83rd Ave, Building 6, Peoria, AZ 85381 | 2018-02-02 |
| 1770034597 | Francesca Baile | Nurse Practitioner | 14155 N 83rd Ave, Ste 127, Peoria, AZ 85381-5639 | 2016-10-17 |
| 1518347285 | Christina Celestino | Nurse Practitioner | 14155 N 83rd Ave, Ste 127, Peoria, AZ 85381-5639 | 2015-06-08 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1235559600 | Sara Lindebak | Nurse Practitioner | 14155 N 83rd Ave, Ste # 127, Peoria, AZ 85381-5639 | 2014-04-23 |
| 1144667411 | Michael Thomas Morgan | Physical Therapist | 14155 N 83rd Ave, #148, Peoria, AZ 85381-5639 | 2013-05-28 |
| 1609127398 | Eryn Leigh Berry | Registered Nurse | 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381-5639 | 2012-09-21 |
| 1972868677 | Stephanie Marie Wilson | Nurse Practitioner | 14155 N 83rd Ave, Peoria, AZ 85381-5639 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083062285 | Heather A Boore | Clinical Nurse Specialist | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 | 2016-05-27 |
| 1790139384 | Jenna Ford | Clinical Nurse Specialist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2016-04-20 |
| 1669897930 | Kristine Michelle Papis | Clinical Nurse Specialist | 320 E Armstrong Ave, Peoria, IL 61603-3172 | 2014-02-24 |
| 1114348620 | Sarah E Dominique | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-12-31 |
| 1396183786 | Amy Zimmerman | Clinical Nurse Specialist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2013-06-07 |
| 1700155793 | Kristie Taggart | Clinical Nurse Specialist | 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 | 2011-12-20 |
| 1144525452 | Suzan Cathleen Shane-gray | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Pob 113, Peoria, IL 61637-0001 | 2011-01-18 |
| 1902136856 | Maureen Whalen Hofmann | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053569822 | Janice A. Millette | Clinical Nurse Specialist | 3200 S George Dr, Tempe, AZ 85282-4172 | 2008-09-04 |
| 1548439433 | Patricia Ann Smith | Clinical Nurse Specialist | 1919 E Thomas Rd, Bldg C, Room 2240, Phoenix, AZ 85016-7710 | 2008-02-25 |
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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.