TARA ELIZABETH GAVARDINAS


Address: The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202
Phone: 3179444000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address THE INDIANA CLINIC, 340 W. 10TH STREET
FS 5100
City INDIANAPOLIS
State IN
Zip Code 46202

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City INDIANAPOLIS
Zip Code 46202

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Dataset Information

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.

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