TARA ELIZABETH GAVARDINAS (NPI# 1952603664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952603664 |
Entity Type | Individual |
Full Name | TARA ELIZABETH GAVARDINAS |
Credential | PMHCNS-BC |
Practice Address |
The Indiana Clinic, 340 W. 10th Street Fs 5100 Indianapolis IN 46202 |
Mailing Address |
12538 Glendurgan Dr Carmel IN 46032-8313 |
Practice Telephone | 3179444000 |
Mailing Telephone | 3179962982 |
Enumeration Date | 2010-12-01 |
Last Update Date | 2018-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
28155670A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
THE INDIANA CLINIC, 340 W. 10TH STREET FS 5100 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
Find all providers in zip 46202 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
1184676033 | Noreen M Nowak | Clinical Nurse Specialist | 1701 N. Senate Blvd, Ag022, Indianapolis, IN 46202 | 2006-05-17 |
1366944399 | Linda Demo | Clinical Nurse Specialist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2018-03-06 |
1306254214 | Carrie Hatfield | Clinical Nurse Specialist | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2014-07-24 |
1942593504 | Rosemary Elaine Freedman | Clinical Nurse Specialist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2011-05-16 |
1285812420 | Vicki Carol Dent | Clinical Nurse Specialist | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2008-02-08 |
1760502769 | Mary Patricia Hession | Clinical Nurse Specialist | 3307 W 96th St, Indianapolis, IN 46268-1106 | 2007-03-31 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46202 |
Please comment or provide details below to improve the information on TARA ELIZABETH GAVARDINAS.
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.