MRS. TAMERA BETH BALL (NPI# 1912556507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912556507 |
| Entity Type | Individual |
| Full Name | MRS. TAMERA BETH BALL |
| Credential | FNP-C |
| Practice Address |
150 Venus Drive Gary WV 24836 |
| Mailing Address |
Po Box 441 Grundy VA 24614-0441 |
| Practice Telephone | 3044482121 |
| Mailing Telephone | 2762101884 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
105500 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024178151 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Dr. Jashubhai Patel, Md, 1520 Slate Creek Road, Grundy, VA 24614 | 2769352678 |
| Street Address |
150 VENUS DRIVE |
| City | GARY |
| State | WV |
| Zip Code | 24836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1558528554 | Cristie D Hatfield | Dental Hygienist | Route 103 Supply St, Gary, WV 24836 | 2008-05-19 |
| 1548382435 | Tug River Health Association | Clinic/Center | Rt 103 Supply St, Gary, WV 24836 | 2007-04-04 |
| 1407922891 | Tug River Health Association, Inc | Clinic/Center | Us Route 103 Supply St, Gary, WV 24836 | 2006-11-28 |
| 1922184266 | Tug River Health Association, Inc | Clinic/Center | Route 103 Supply St., Gary, WV 24836 | 2006-10-30 |
| 1992887392 | John W Balaban | Dentist | Route 103, Supply St, Gary, WV 24836 | 2006-10-19 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1174501068 | Tug River Health Association, Inc | Clinic/Center | Us Rt 52 Main Street, Gary, WV 24836 | 2006-01-03 |
| 1609427350 | Jessica Robin Marcus | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836 | 2019-09-24 |
| Find all providers in zip 24836 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381760 | Sharnita L Rice | Nurse Practitioner | 2104 W 12th Ave, Gary, IN 46404-2375 | 2019-11-20 |
| 1689927691 | Monique Shantae Rash | Nurse Practitioner | Rr 103 Supply Strwet, Gary, WV 24836-0507 | 2012-10-16 |
| 1033302955 | Nicole Yvette Richards | Nurse Practitioner | 3900 Calhoun St, Gary, IN 46408-1753 | 2007-08-23 |
| 1285723445 | Sharon R Totten | Nurse Practitioner | 1145 W 5th Ave, Gary, IN 46402-1704 | 2006-10-12 |
| 1336236611 | Ruby J Bailey | Nurse Practitioner | 2269 West 25th Avenue, Gary, IN 46404-4509 | 2006-10-06 |
| 1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
| 1437760519 | Bianca Yasmin Rafidia Vargas | Nurse Practitioner | 650 Grant St, Gary, IN 46404-1533 | 2020-08-12 |
| 1336761576 | Lakeysha Patrice Freeny | Nurse Practitioner | 650 Grant St Ste 7, Gary, IN 46404-1551 | 2020-05-11 |
| 1609427350 | Jessica Robin Marcus | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836 | 2019-09-24 |
| 1578115234 | Channae Watkins | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-07-12 |
| Find all providers in GARY | ||||
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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.