TARA HEDGE (NPI# 1790164705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790164705 |
| Entity Type | Individual |
| Full Name | TARA HEDGE |
| Other Name | TARA TACKETT |
| Credential | LPN |
| Practice Address |
698 Circle Dr Mullens WV 25882-1347 |
| Practice Telephone | 4196108264 |
| Mailing Telephone | 4196108264 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 2046163 | KY | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | PN.130012-M-IV | OH | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 34801 | WV | Nursing Service Providers |
| Street Address |
698 CIRCLE DR |
| City | MULLENS |
| State | WV |
| Zip Code | 25882-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760721039 | Joshua Tollison Bishop | Physician Assistant | 205 Howard Ave, Mullens, WV 25882 | 2013-02-06 |
| 1487973756 | Charles E. Porterfield | Clinic/Center | 202 3rd St., Mullens, WV 25882 | 2010-05-25 |
| 1578675492 | Samuel A Muscari Sr. | Family Medicine | 205 Howard Avenue, Family Healthcare Assoc Inc, Mullens, WV 25882 | 2006-08-31 |
| 1700815800 | Family Healthcare Associates Inc | Family Medicine | 205 Howard Avenue, Mullens, WV 25882-0205 | 2006-07-01 |
| 1346431848 | American Medical, Inc | Durable Medical Equipment & Medical Supplies | 214 Moran Ave, Mullens, WV 25882-0214 | 2007-08-08 |
| 1609482363 | Sonia Frances Sink | Technician | 953 Guyandotte Ave, Mullens, WV 25882-1007 | 2020-09-18 |
| 1487032595 | Bobby Griffith | Counselor | 944 Guyandotte Ave, Mullens, WV 25882-1008 | 2015-05-08 |
| 1972066868 | New Perspectives Counseling Services | Counselor | 944 Guyandotte Ave, Mullens, WV 25882-1008 | 2019-04-09 |
| 1063562288 | Mullens Manor, Inc | Assisted Living Facility | 1238a Guyandotte Ave, Mullens, WV 25882-1014 | 2007-01-11 |
| 1831706654 | April Tilley | Technician | 916 Farley Ave, Mullens, WV 25882-1112 | 2020-09-25 |
| Find all providers in zip 25882 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183614 | Alison Jaide Deweese | Licensed Practical Nurse | 711 Highland Ave, Mullens, WV 25882-1221 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777832 | Melissa Kay Griffey | Licensed Practical Nurse | 249 Clark St Ste C, New Martinsville, WV 26155-1201 | 2020-10-12 |
| 1013526110 | Blaise Sama | Licensed Practical Nurse | 1 Morris St, Charleston, WV 25301-2920 | 2020-07-24 |
| 1134762669 | Teresa Elkins | Licensed Practical Nurse | 208 Vine Cir, Martinsburg, WV 25405-6295 | 2019-10-28 |
| 1386128395 | Cynthia Lou Glasgow | Licensed Practical Nurse | 3808 Staunton Ave Se, Charleston, WV 25304-1538 | 2018-09-17 |
| 1548758212 | Evan Yeauger | Licensed Practical Nurse | 49 Ridge Rd, Point Pleasant, WV 25550-3985 | 2018-04-27 |
| 1487158846 | April Diane Steele | Licensed Practical Nurse | 300 N Johnston St, Princeton, WV 24740-2650 | 2018-03-21 |
| 1942736640 | Sheila Robertson | Licensed Practical Nurse | 64 Private Ct., Bunker Hill, WV 25413 | 2017-05-02 |
| 1679940522 | Heather Ramey | Licensed Practical Nurse | 5499 Left Fork Lynn Creek Rd, Lavalette, WV 25535-9720 | 2015-08-26 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1104215565 | Valerie Louise Potter | Licensed Practical Nurse | 4928 Ford Hill Road, Augusta, WV 26704 | 2015-01-22 |
| Find all providers with the same taxonomy | ||||
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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.