MS. TARA LYNN SALLEY (NPI# 1598835811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598835811 |
| Entity Type | Individual |
| Full Name | MS. TARA LYNN SALLEY |
| Credential | PA-C |
| Practice Address |
100 Cheyenne Ave Lame Deer MT 59043-0070 |
| Mailing Address |
Po Box 70 Lame Deer MT 59043-0070 |
| Practice Telephone | 4064774484 |
| Practice Fax Number | 4064773153 |
| Mailing Telephone | 4064774484 |
| Mailing Fax Number | 4064773153 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2013-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 480 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 CHEYENNE AVE |
| City | LAME DEER |
| State | MT |
| Zip Code | 59043-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884641 | Vonnda Jade Lei | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2017-11-13 |
| 1144730078 | Kristen Niederklein | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2017-10-05 |
| 1730621764 | Thomas E Flis | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2016-11-08 |
| 1346798840 | Kayla Sue Mckinney | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2016-09-14 |
| 1407221708 | Luke James Altenhofen | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2015-12-11 |
| 1427424803 | Janet Wolfname | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0000 | 2015-08-19 |
| 1922418508 | Charlene Healy | Licensed Practical Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-05-05 |
| 1992125884 | Charles Bratsky | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-04-18 |
| 1275951980 | Nola Suzanne Cowle | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-03-31 |
| 1902227978 | Tamara Wright | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700570 | Jamie Behles | Registered Nurse | 100 N Cheyenne Ave, Lame Deer, MT 59043 | 2019-10-01 |
| 1144725516 | Tamara Roundstone | Registered Nurse | 100 Eaglefeathers Street, Lame Deer, MT 59043 | 2018-03-28 |
| 1336556786 | Brenda Hamilton | Social Worker | 420 North Cheyenne Ave, Lame Deer, MT 59043 | 2014-07-17 |
| 1972857308 | Rosalie Birdwoman | Counselor | 100 Eagle Feather St., Lame Deer, Montana, Lame Deer, MT 59043 | 2012-11-07 |
| 1184978595 | Ben L Armentrout | Counselor | 100 Eagle Feather Street, Lame Deer, MT 59043 | 2012-11-07 |
| 1568716090 | Northern Cheyenne Tribe | Counselor | 420 North Cheyenne Avenue, Lame Deer Health Center - Behavior Health, Lame Deer, MT 59043 | 2012-11-06 |
| 1710231352 | John Duane Burns Sr. | Counselor | 100 Eagle Feathers Drive, Lame Deer, MT 59043 | 2012-11-05 |
| 1124292677 | Robin Joy Lipke | Psychologist | Northern Cheyenne Clinic, Highway 39, Lame Deer, MT 59043 | 2008-04-16 |
| 1306039631 | Angela Miller | Counselor | 1 Cheyenne Lane, Lame Deer, MT 59043 | 2007-08-21 |
| 1922214345 | Harold Jeanotte | Physician Assistant | 100 Avenue Cheyenne, Box 70, Lame Deer, MT 59043 | 2007-05-15 |
| Find all providers in zip 59043 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922214345 | Harold Jeanotte | Physician Assistant | 100 Avenue Cheyenne, Box 70, Lame Deer, MT 59043 | 2007-05-15 |
| 1407221708 | Luke James Altenhofen | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1285255893 | Teryn Ashli Green | Physician Assistant | 212 5th Ave, Helena, MT 59601-4204 | 2020-05-05 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1891269973 | Jason Enewold | Physician Assistant | 1424 Scott St, Missoula, MT 59802-2435 | 2019-01-11 |
| 1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
| 1730664723 | Katrin Johanna Kahl | Physician Assistant | 5005 Pattee Canyon Rd, Missoula, MT 59803-1811 | 2018-09-26 |
| 1023591757 | Kaytlin G Deveney | Physician Assistant | 305 W Porphyry St Ste 100, Butte, MT 59701-2000 | 2018-09-09 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
| Find all providers with the same taxonomy | ||||
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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.