TARA M SHANK (NPI# 1811431562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811431562 |
| Entity Type | Individual |
| Full Name | TARA M SHANK |
| Other Name | TARA M LONGEY |
| Credential | CRNP |
| Practice Address |
4400 Carlisle Pike Camp Hill PA 17011-4132 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7179759800 |
| Practice Fax Number | 7179755509 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP016855 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103234795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063442531 | Tara M Shank | Physical Therapist | 2020 S Webster Ave, Green Bay, WI 54301-2291 | 2006-07-03 |
| Street Address |
4400 CARLISLE PIKE |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134188568 | Robert Denes Kusztos | Internal Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2006-03-23 |
| 1093359572 | Mercy N Odoom | Nurse Practitioner | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2019-10-29 |
| 1922512144 | Laura Meghan Knepp | Nurse Practitioner | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2017-11-27 |
| 1508312851 | Tarek Hassouna | Internal Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2016-08-28 |
| 1598115594 | Rabea J Khokhar | Family Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2016-06-21 |
| 1134593627 | Cindy Melnick | Nurse Practitioner | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2015-11-20 |
| 1801279120 | Ledia Turner | Internal Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011 | 2015-07-06 |
| 1538572789 | Olga Chugusova | Family Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2014-06-05 |
| 1982983557 | Ahmad Shahzad | Internal Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2011-08-12 |
| 1902125800 | Pinnacle Health Medical Services | Family Medicine | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2010-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992296545 | Isaias Rodolfo Vargas Jr. | Nurse Practitioner | 2500 Lisburn Rd, Camp Hill, PA 17011-8005 | 2018-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
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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.