TARA A. ROBERTSON (NPI# 1679069561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679069561 |
| Entity Type | Individual |
| Full Name | TARA A. ROBERTSON |
| Credential | APRN |
| Practice Address |
15 Valley Dr Ste 200 Greenwich CT 06831 |
| Mailing Address |
15 Valley Dr Ste 200 Greenwich CT 06831-5205 |
| Practice Telephone | 2038634210 |
| Practice Fax Number | 2036221872 |
| Mailing Telephone | 2038634210 |
| Mailing Fax Number | 2036221872 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7621 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Hospital Plz, Stamford, CT 069023602 | 2032761000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011235 | Tara E Robertson | Specialist | 35 Woodbury Rd, Farmingville, NY 11738-2318 | 2016-01-25 |
| 1104204122 | Tara Robertson | Nurse Practitioner | 1 Dot Way, Mount Sterling, IL 62353-1664 | 2015-05-11 |
| 1831229376 | Tara L Robertson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2007-03-06 |
| Street Address |
15 VALLEY DR STE 200 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184091217 | Casey A Doyle | Nurse Practitioner | 15 Valley Dr Ste 200, Greenwich, CT 06831-5205 | 2015-08-24 |
| 1669937959 | Matthew Delmastro | Nurse Practitioner | 15 Valley Dr Ste 200, Greenwich, CT 06831-5205 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829480 | Katherine Knetzger Vitale | Nurse Practitioner | 28 Sawmill Ln, Greenwich, CT 06830-4029 | 2019-12-28 |
| 1013550367 | Alyssa Lodato | Nurse Practitioner | 7 Ponderosa Dr, Greenwich, CT 06830-4010 | 2019-10-18 |
| 1184091217 | Casey A Doyle | Nurse Practitioner | 15 Valley Dr Ste 200, Greenwich, CT 06831-5205 | 2015-08-24 |
| 1922408970 | Sara Wassel | Nurse Practitioner | 500 W Putnam Ave Ste 435, Greenwich, CT 06830-6086 | 2014-08-27 |
| 1770916637 | Kelly Anne Melchionno | Nurse Practitioner | 115 E Putnam Ave, Greenwich, CT 06830-5643 | 2013-08-14 |
| 1508031238 | Anne Zaranski Brown | Nurse Practitioner | 89 Sherwood Pl, Greenwich, CT 06830-5606 | 2008-04-24 |
| 1871594788 | Julie Waight | Nurse Practitioner | 239 Glenville Rd, Greenwich, CT 06831-4172 | 2005-08-02 |
| 1760094437 | Avigail Itzkowitz | Nurse Practitioner | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-08-23 |
| 1467921981 | Alejandro A Belistri | Nurse Practitioner | 1 E Putnam Ave, Greenwich, CT 06830-5429 | 2018-11-14 |
| 1639552813 | Meghan Newman | Nurse Practitioner | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2015-07-07 |
| Find all providers in GREENWICH | ||||
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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.