TARA PETERSON (NPI# 1669971602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669971602 |
| Entity Type | Individual |
| Full Name | TARA PETERSON |
| Credential | CRNA |
| Practice Address |
601 E Rollins St Orlando FL 32803-1248 |
| Mailing Address |
851 Trafalgar Ct Ste 200e Maitland FL 32751-7420 |
| Practice Telephone | 4073035600 |
| Mailing Telephone | 4076670444 |
| Mailing Fax Number | 4076674338 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9304664 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | PENDING | 01 |
| FL | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474634 | Tara Mae Peterson | Student in an Organized Health Care Education/Training Program | 9182 E Mogollon Trl, Gold Canyon, AZ 85118-7090 | 2019-08-28 |
| 1144619107 | Tara Danielle Peterson | Specialist/Technologist | 896 Ashe Loop Rd, Sylva, NC 28779-8810 | 2015-01-14 |
| 1700376969 | Tara Skelly Peterson | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2018-05-14 |
| 1053770867 | Tara Peterson | Marriage & Family Therapist | 1441 Constitution Blvd, Bldg 400 Ste 200, Salinas, CA 93906-3100 | 2016-02-22 |
| 1710353560 | Tara Anne Peterson | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2015-08-17 |
| 1174927867 | Tara Peterson | Behavioral Analyst | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2014-10-09 |
| 1659652956 | Tara Jo Peterson | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-08-31 |
| 1336438811 | Tara Peterson | Marriage & Family Therapist | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2011-04-05 |
| 1588965933 | Tara Magen Peterson | Developmental Therapist | 2708 Ne 14th Street, Suite 5, Pompano Beach, FL 33062 | 2010-11-16 |
| 1235108457 | Tara L. Peterson | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057 | 2006-03-17 |
| Street Address |
601 E ROLLINS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739522 | David Kos | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-05-23 |
| 1063013845 | Samuel Acosta | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-11-06 |
| 1972110641 | Laura Nazario | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-28 |
| 1710593561 | Ambber Marie Harms | Advanced Practice Midwife | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-17 |
| 1598375628 | Brent Windrow | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-04 |
| 1689284929 | Brianne Beacham | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-02 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1639794761 | Idna Angervil | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-06-15 |
| 1316567597 | Bryn Nadeau | Occupational Therapist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| 1457971665 | Brooke Ashley Koopman | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588207682 | Kevin Manuel Perez | Nurse Anesthetist, Certified Registered | 9008 New Orleans Ct, Orlando, FL 32818-9050 | 2019-10-21 |
| 1194283440 | Pamella Purkeypile | Nurse Anesthetist, Certified Registered | 13785 Behring Ave, Orlando, FL 32827-3813 | 2019-03-06 |
| 1164986287 | Oluchi Bridget Uchegbu | Nurse Anesthetist, Certified Registered | 6645 Meritmoor Cir, Orlando, FL 32818-2278 | 2019-01-23 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| 1376084871 | Marisela Rosario Lee | Nurse Anesthetist, Certified Registered | 210 Briar Bay Cir, Orlando, FL 32825-5955 | 2017-03-16 |
| 1003356288 | Mary Amber Davis | Nurse Anesthetist, Certified Registered | 27 Wintergreen Way, Orlando, FL 32825-3649 | 2017-03-07 |
| 1154864981 | Jennifer R. Hayes | Nurse Anesthetist, Certified Registered | 20315 Reynolds Pkwy, Orlando, FL 32833-4925 | 2016-11-28 |
| 1316495989 | Anesthesia Associates of Greater Orlando, LLC | Nurse Anesthetist, Certified Registered | 4901 Vineland Rd Ste 150, Orlando, FL 32811-7190 | 2016-09-13 |
| 1407213051 | Sigy Ann Mathew | Nurse Anesthetist, Certified Registered | 5137 Picadilly Circus Ct, Orlando, FL 32839-5337 | 2016-01-26 |
| 1477920957 | Rosaura Elias-trujillo | Nurse Anesthetist, Certified Registered | 4213 Summit Creek Blvd Apt 7301, Orlando, FL 32837-4505 | 2015-08-31 |
| Find all providers in ORLANDO | ||||
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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.