TARA LYNN TAYLOR (NPI# 1720637424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720637424 |
| Entity Type | Individual |
| Full Name | TARA LYNN TAYLOR |
| Credential | DNP, PMHNP |
| Practice Address |
15455 65th Ave S Tukwila WA 98188-2534 |
| Mailing Address |
Po Box 2429 Longview WA 98632-8486 |
| Practice Telephone | 2067215170 |
| Practice Fax Number | 3603539440 |
| Mailing Telephone | 3603539494 |
| Mailing Fax Number | 3603539440 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 60471609 | WA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP61007015 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427549229 | Tara Anne Taylor | Nurse Practitioner | 730 North Summit Blvd, Suite 101-b, Frisco, CO 80443 | 2018-05-29 |
| 1790296846 | Tara Lynn Taylor | Social Worker | 1070 Acorn Bay Dr, Galloway, OH 43119-8505 | 2017-10-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1821401944 | Tara T Taylor | Social Worker | 153 Turriff Way, Cameron, NC 28326-5037 | 2014-06-05 |
| 1750653085 | Tara Avena Taylor | Registered Nurse | 3014 Smithfield Rd, Portsmouth, VA 23702-1814 | 2012-02-02 |
| 1154512374 | Tara Leigh Taylor | Physician Assistant | 1181 N Milford Rd Ste 207, Milford, MI 48381-1061 | 2007-08-05 |
| 1457489015 | Tara Nicole Taylor | Counselor | 1011 Sw C Ave, Lawton, OK 73501-4331 | 2007-03-02 |
| 1780298620 | Tara Lynne Taylor | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-08 |
| 1174153126 | Tara Alesia Taylor | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-01-17 |
| 1811407513 | Tara Taylor | Counselor | 3424 Superior Ave, Sheboygan, WI 53081-1862 | 2017-10-07 |
| Street Address |
15455 65TH AVE S |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912078361 | Eduardo Abuyog | Social Worker | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2006-11-09 |
| 1326509597 | Gabrielle Gutierrez | Registered Nurse | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2019-03-28 |
| 1083184097 | Fredy E Cortez | Counselor | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2018-12-03 |
| 1689142903 | Ingrid Buchan | Counselor | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2018-11-05 |
| 1407323942 | Michele Marie Perrin | Counselor | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2018-11-01 |
| 1194205609 | Stephanie Marie Degroat | Social Worker | 15455 65th Ave S, Tukwila, WA 98188 | 2018-08-15 |
| 1689150997 | Tate J Bates | Social Worker | 15455 65th Ave S, Tukwila, WA 98188 | 2018-07-19 |
| 1235624487 | Robert Jay Ramirez | Social Worker | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2018-06-28 |
| 1629561634 | Sandra S Baker | Social Worker | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2018-06-13 |
| 1104314848 | Charles R Saylor | Counselor | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2018-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578722344 | Rosemary Nduka | Nurse Practitioner | 6100 Southcenter Blvd Ste 200, Tukwila, WA 98188-5714 | 2008-06-05 |
| 1669581823 | Patricia Dianne Larsen | Nurse Practitioner | 6100 Southcenter Blvd., Sound Mental Health, Tukwila, WA 98188-2735 | 2006-08-30 |
| 1578179388 | Kira Knight | Nurse Practitioner | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2020-09-17 |
| 1568000669 | Tirhas A Zerahaimanot | Nurse Practitioner | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2019-12-19 |
| 1942707781 | Aleksandr Torchilo | Nurse Practitioner | 6400 Southcenter Blvd, Tukwila, WA 98188 | 2018-04-09 |
| 1144619099 | Gemy George | Nurse Practitioner | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2015-01-15 |
| 1710303284 | Jasmyne Lyons | Nurse Practitioner | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2014-03-08 |
| 1518214824 | Melissa Ann Fukunaga | Nurse Practitioner | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2012-08-07 |
| 1053680231 | Yingxuan Law | Nurse Practitioner | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2011-12-18 |
| 1467690693 | Edward H Ebert | Nurse Practitioner | 15455 65th Ave S, Tukwila, WA 98188 | 2009-01-26 |
| Find all providers in TUKWILA | ||||
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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.