TARA C NELSON (NPI# 1588995971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588995971 |
| Entity Type | Individual |
| Full Name | TARA C NELSON |
| Credential | LPN |
| Practice Address |
6233 Bankers Rd Suite 10 Racine WI 53403-9700 |
| Mailing Address |
2422 N Grandview Blvd Waukesha WI 53188-6105 |
| Practice Telephone | 2625496600 |
| Practice Fax Number | 2625496698 |
| Mailing Telephone | 2625496600 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 312119031 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659936193 | Tara Nelson | Speech-Language Pathologist | 2436 66th Ave, Oakland, CA 94605-1917 | 2019-05-09 |
| 1356839005 | Tara Lanae Nelson | Registered Nurse | 1514 Stevens Dr, Richland, WA 99354-2960 | 2018-04-27 |
| 1811347537 | Tara Nelson | Psychologist | 70-24 47th Ave, Woodside, NY 11377 | 2016-06-14 |
| 1649529454 | Tara M Nelson | Dietitian, Registered | 68 Tupper Road Suite 6, Sandwich, MA 02563 | 2012-09-07 |
| 1730664616 | Tara Nelson | Social Worker | 305 E 161st St, Bronx, NY 10451-3535 | 2018-09-26 |
| 1447670104 | Tara Nelson | Family Medicine | 6939 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016-4643 | 2014-04-21 |
| 1598053340 | Tara Nelson | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2011-07-14 |
| 1659508224 | Tara Nelson | Day Training/Habilitation Specialist | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2009-06-22 |
| 1003076688 | Tara Nelson | Counselor | 53 Kendall St, Franklin, NH 03235-1413 | 2008-06-17 |
| 1245418649 | Tara Marie Nelson | Occupational Therapist | 800 E Carpenter St, Springfield, IL 62769-0002 | 2008-02-07 |
| Street Address |
6233 BANKERS RD SUITE 10 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821329210 | Linda L Kimmons | Registered Nurse | 6233 Bankers Rd, Suite 10, Racine, WI 53403-9700 | 2010-01-25 |
| 1750612255 | Christopher Fancher | Counselor | 6233 Bankers Rd, Suite 10, Racine, WI 53403-9700 | 2010-01-22 |
| 1144551870 | Kala C Barker | Licensed Practical Nurse | 6233 Bankers Rd, Suite 10, Racine, WI 53403-9700 | 2010-01-20 |
| 1528393881 | Eva M Aiello-larrabee | Registered Nurse | 6233 Bankers Rd, Number 10, Racine, WI 53403-9700 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1194294850 | Stephanie Angel Compton | Licensed Practical Nurse | 815 8th St Apt 214, Racine, WI 53403-1496 | 2018-11-24 |
| 1790276889 | Catalina Fransisca Nuno | Licensed Practical Nurse | 811 Forest St, Racine, WI 53404-3257 | 2018-05-23 |
| 1649796087 | Cara Jerdee | Licensed Practical Nurse | 1423 William St, Racine, WI 53402-4161 | 2017-08-17 |
| 1710359427 | Doris Mitchell | Licensed Practical Nurse | 1322 Buchanan St, Racine, WI 53402-5014 | 2015-10-21 |
| 1194134130 | Corine Baumstark | Licensed Practical Nurse | 1903 English St, Racine, WI 53404-2360 | 2014-08-04 |
| 1851725972 | Marguerite Emily Macdonald | Licensed Practical Nurse | 5215 Willowview Rd, Racine, WI 53402-2257 | 2013-08-26 |
| 1720411861 | Jennifer Jane Lagore | Licensed Practical Nurse | 50250 Hoback Rd, Racine, OH 45771-9751 | 2013-08-13 |
| 1346587987 | Emily Manago Reisman | Licensed Practical Nurse | 111 Sheffield Dr, Racine, WI 53402-3638 | 2013-01-15 |
| 1689922254 | Renee Corinne Crum | Licensed Practical Nurse | 1435 Ohio St, Racine, WI 53405 | 2012-08-29 |
| 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.