MRS. TARA L GORDON (NPI# 1760981997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760981997 |
| Entity Type | Individual |
| Full Name | MRS. TARA L GORDON |
| Other Name | MISS TARA L CARROLL |
| Credential | APRN, FNP-BC |
| Practice Address |
12403 Altamira St Austin TX 78748-4038 |
| Practice Telephone | 4194602476 |
| Mailing Telephone | 4194602476 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F12170077 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760937163 | Tara Gordon | Counselor | 2400 Union Ave, Suite 400, Memphis, TN 38112-4318 | 2016-08-16 |
| 1578033866 | Tara Pitre Gordon | Case Manager/Care Coordinator | 123 Church Street, Grand Couteau, LA 70541 | 2018-11-28 |
| 1326595661 | Tara Gordon | Speech-Language Pathologist | 185 1st Ave, New York, NY 10003-2907 | 2016-09-02 |
| 1962746131 | Tara Gordon | Social Worker | 90 N 31st St, Clinton, OK 73601-9116 | 2012-11-12 |
| 1962552661 | Tara Ann Gordon | Physician Assistant | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2007-01-12 |
| Street Address |
12403 ALTAMIRA ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616992 | Nancy Toll | Nurse Practitioner | 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 | 2020-10-13 |
| 1003413055 | Anthony Delovino Lista | Nurse Practitioner | 311 Bowie St Apt 1215, Austin, TX 78703-5296 | 2020-10-02 |
| 1366049553 | Lauren Nicole Crider | Nurse Practitioner | 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 | 2020-10-01 |
| 1366059784 | Teresa Marie Reed | Nurse Practitioner | 3921 Steck Ave Ste A120, Austin, TX 78759-8669 | 2020-09-29 |
| 1144836289 | Amy Silva | Nurse Practitioner | 1824 Rainy Meadows Dr, Austin, TX 78758-3518 | 2020-09-22 |
| 1326652470 | Carolyn Lee Stanford | Nurse Practitioner | 14902 Crosscreek, Austin, TX 78737-8904 | 2020-09-06 |
| 1457965899 | Lorie Kmetz | Nurse Practitioner | 1907 Alguno Rd, Austin, TX 78757-3220 | 2020-09-02 |
| 1184238735 | Amanda Kanski | Nurse Practitioner | 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 | 2020-09-01 |
| 1487265013 | Lisa Karen Brogan | Nurse Practitioner | 1805 Forest Hill Dr, Austin, TX 78745-1720 | 2020-08-17 |
| 1992316327 | Mona Saberi | Nurse Practitioner | 15024 Calaveras Dr, Austin, TX 78717-4577 | 2020-08-10 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on MRS. TARA L GORDON.
| 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.