TARA HERREN (NPI# 1629320890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629320890 |
| Entity Type | Individual |
| Full Name | TARA HERREN |
| Credential | R.N. |
| Practice Address |
7908 Nw 23rd St Bethany OK 73008-4950 |
| Practice Telephone | 4054401006 |
| Practice Fax Number | 4054401006 |
| Mailing Telephone | 4054401006 |
| Mailing Fax Number | 4054401006 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
105191 | OK | Nursing Service Providers |
| Street Address |
7908 NW 23RD ST |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497022 | Lucinda Dawn Maddox | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2006-11-24 |
| 1023415478 | Jennee Chew-jones | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2014-12-01 |
| 1528309994 | Melissa Gragg | Counselor | 7908 Nw 23rd St, Bethany, OK 73008 | 2013-03-11 |
| 1811240625 | Rachell Lynn Staats | Behavioral Analyst | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-10-17 |
| 1982954152 | Todd Andrew Wilkerson | Behavioral Analyst | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-09-14 |
| 1538417613 | Courtney E Trudeau | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-08-21 |
| 1215283163 | Demetria J Moore | Clinic/Center | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-07-30 |
| 1891059697 | Brian Keith Litteral | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-06-27 |
| 1548524598 | Hasani Brandon Cooks | Clinic/Center | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-06-25 |
| 1770840134 | Montrey Denise West | Behavioral Analyst | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1265514616 | Theresa Marie Hanus | Registered Nurse | 250 Henry St, Delaware, OK 43015 | 2006-10-19 |
| 1720685175 | Jesse Misthaven | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-07 |
| 1699372482 | Christine Reynold | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-05 |
| 1417503038 | Amy Melissa Fleming | Registered Nurse | 1707 Professional Cir, Yukon, OK 73099-6470 | 2019-08-11 |
| 1427613488 | Robin Marie Lacy | Registered Nurse | 1707 Professional Cir, Yukon, OK 73099-6470 | 2019-05-06 |
| 1558725713 | Ashley Lee | Registered Nurse | 3400 Deskin Dr, Norman, OK 73069-8295 | 2016-04-13 |
| 1699132126 | Kelly Nix | Registered Nurse | 400 N Broadway St, Moore, OK 73160-4812 | 2016-01-28 |
| 1255704821 | Lisa Lumry | Registered Nurse | 3400 Deskin Dr, Norman, OK 73069-8295 | 2015-11-04 |
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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.