TARA MCRAE (NPI# 1871046045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871046045 |
| Entity Type | Individual |
| Full Name | TARA MCRAE |
| Credential | CRNP |
| Practice Address |
1804 W King St Ste 300-400 Martinsburg WV 25401-2031 |
| Practice Telephone | 3042624525 |
| Mailing Telephone | 3042624525 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
106273 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1141 Opal Ct, Suite A, Hagerstown, MD 217405976 | 3017916666 |
| Street Address |
1804 W KING ST STE 300-400 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467987073 | Carol Hayden Oliver | Nurse Practitioner | 2000 Professional Ct Ste C, Martinsburg, WV 25401-8803 | 2017-04-21 |
| 1730439431 | Rayna Marie Moore Amoreno | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2012-09-11 |
| 1942503164 | City Hospital Inc | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2010-12-09 |
| 1386649242 | Pamela Longmore | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249108 | Auburn Pediatrics Inc | Nurse Practitioner | 8660 Auburn Rd, Auburn, WV 26325-7515 | 2019-11-12 |
| 1780167387 | Sarah Bonasso | Nurse Practitioner | 101 Tygart Mall Loop Ste 102a, Fairmont, WV 26554-2972 | 2018-09-10 |
| 1467827550 | Summere Herndon | Nurse Practitioner | 81 Autumn Leaf Drive, New Creek, WV 26743-0012 | 2015-12-01 |
| 1598169500 | Jessica Costello | Nurse Practitioner | 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2014-10-20 |
| 1528476793 | Kacie Owens | Nurse Practitioner | 830 Pennslyvania Avenue, Suite 103, Charleston, WV 25302-3389 | 2014-07-31 |
| 1871880856 | Mindy L Bostic | Nurse Practitioner | 1008 Wal St, Summersville, WV 26651-2101 | 2011-06-29 |
| 1346498466 | April Lynn Lilly | Nurse Practitioner | 252 Rural Acres Dr., Beckley, WV 25801-3503 | 2008-09-03 |
| 1225146475 | Rachel Lynne Anger | Nurse Practitioner | 62 Barnard Ave, Elkins, WV 26241-3150 | 2006-08-28 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1508346289 | Roshawna Iman | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2018-08-21 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on TARA MCRAE.
| 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.