MRS. TARA MARIE CARTER (NPI# 1770090409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770090409 |
| Entity Type | Individual |
| Full Name | MRS. TARA MARIE CARTER |
| Credential | FNP |
| Practice Address |
23715 Little Mack Ave Ste 100 Saint Clair Shores MI 48080-1181 |
| Mailing Address |
49700 Jefferson Ave Chesterfield MI 48047-2394 |
| Practice Telephone | 5864478021 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704301500 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704301500NSA174 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528514155 | Tara L. Carter | Nurse Practitioner | 4088 Butternut Pl, Atlanta, GA 30349-8107 | 2016-09-01 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1356701882 | Tara Carter | Physical Therapy Assistant | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2016-02-25 |
| Street Address |
23715 LITTLE MACK AVE STE 100 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033224217 | Luis Gabriel Camero | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 | 2006-08-20 |
| 1831573955 | Lauren Traub | Nurse Practitioner | 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 | 2015-07-18 |
| 1649525288 | Elizabeth Perrotta | Nurse Practitioner | 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 | 2012-07-19 |
| 1083864565 | Kevin George Jamil | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 | 2008-09-22 |
| 1760646665 | Monika Elizabeth Olchawa-begeny | Internal Medicine | 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1181 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194597 | Ashley Imbrunnone | Nurse Practitioner | 20952 E 12 Mile Rd # 101, Saint Clair Shores, MI 48081-3200 | 2019-09-28 |
| 1760031645 | Stephanie Kayser | Nurse Practitioner | 22619 Millenbach St, Saint Clair Shores, MI 48081-2598 | 2019-09-04 |
| 1063880573 | Ronald August Bonaventura Jr. | Nurse Practitioner | 22432 Harper Lake Ave, Saint Clair Shores, MI 48080-4041 | 2015-09-14 |
| 1033595749 | Jennifer Kulinski | Nurse Practitioner | 24800 Ursuline St, Saint Clair Shores, MI 48080-3195 | 2015-08-04 |
| 1902419104 | Jacob Jewell | Nurse Practitioner | 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 | 2020-08-26 |
| 1215587100 | Florence Arabia P Acebedo | Nurse Practitioner | 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 | 2019-09-12 |
| 1053895193 | Ayesha Massey Bennett | Nurse Practitioner | 25200 Little Mack Ave, Saint Clair Shores, MI 48081-2116 | 2018-09-24 |
| 1871072546 | Meagan Torrey Smoyer | Nurse Practitioner | 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 | 2018-08-13 |
| 1053897496 | Meghan Martinovski | Nurse Practitioner | 25200 Little Mack Ave, Saint Clair Shores, MI 48081-2116 | 2018-07-18 |
| 1801331210 | Katja N Tandarich | Nurse Practitioner | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2016-12-21 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on MRS. TARA MARIE CARTER.
| 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.