TAMMI TALLARICO (NPI# 1750758645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750758645 |
Entity Type | Individual |
Full Name | TAMMI TALLARICO |
Credential | APRN, CNP |
Practice Address |
203 United Way Frederic WI 54837-8938 |
Mailing Address |
4437 399th St North Branch MN 55056-7072 |
Practice Telephone | 7153274402 |
Enumeration Date | 2015-08-26 |
Last Update Date | 2015-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP 4057 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6583-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
203 UNITED WAY |
City | FREDERIC |
State | WI |
Zip Code | 54837-8938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538243068 | David A Ammend | Pediatrics | 203 United Way, Frederic, WI 54837-8938 | 2006-10-24 |
1568935450 | Ashley A Esanbock | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2019-01-03 |
1902310436 | Erica Lumley | Marriage & Family Therapist | 203 United Way, Frederic, WI 54837-8938 | 2017-11-20 |
1306372065 | Amanda Finstad | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2017-05-02 |
1326428350 | Matthew Michael Meyer | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2015-06-04 |
1215344080 | James Tangen-foster | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2014-07-14 |
1164762001 | Jennifer Lee Schill | Marriage & Family Therapist | 203 United Way, Frederic, WI 54837-8938 | 2013-02-28 |
1356607188 | Melissa Catherine Gendreau | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2012-04-05 |
1437329687 | Kira Yanko | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2008-03-04 |
1962539874 | Angela M Fredrickson | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2007-02-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548639636 | Austin Ross | Pharmacist | 201 Oak St West, Frederic, WI 54837 | 2015-09-18 |
1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
1447497763 | Saint-mark Enterprises 1855 LLC | Durable Medical Equipment & Medical Supplies | 110 E Oak St, Frederic, WI 54837 | 2009-01-08 |
1639263221 | Pharmacy Operations Inc | Pharmacy | 110 E Oak Street, Frederic, WI 54837 | 2006-10-03 |
1457338139 | Joseph L Marek | Chiropractor | 101 United Way, Frederic, WI 54837 | 2005-12-23 |
1669572590 | Steven Richard Tesch | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
1306946223 | Bradley Scott Harlander | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
1689004426 | Kristina M Thompson | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2013-11-14 |
1588158679 | Hope Road Wellness Center, LLC | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2018-06-21 |
1043499734 | School District of Frederic | Local Education Agency (LEA) | 1437 Clam Falls Dr, Frederic, WI 54837-4547 | 2007-10-30 |
Find all providers in zip 54837 |
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 |
---|---|---|---|---|
1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
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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.