CHARLOTTE MARIE TACK (NPI# 1982072211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982072211 |
| Entity Type | Individual |
| Full Name | CHARLOTTE MARIE TACK |
| Credential | NP-C |
| Practice Address |
9201 E Mountain View Rd Suite 220 Scottsdale AZ 85258-5199 |
| Practice Telephone | 4808621721 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306786 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9201 E MOUNTAIN VIEW RD SUITE 220 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832332 | David M Lefkowitz | Radiology | 9201 E Mountain View Rd, Suite 137, Scottsdale, AZ 85258-5199 | 2005-09-26 |
| 1215540455 | Ramya Balaram | Nurse Practitioner | 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 | 2020-08-27 |
| 1861003592 | Van Thy Nguyen | Nurse Practitioner | 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 | 2020-08-15 |
| 1497307458 | Titilayo Omonisa | Nurse Practitioner | 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 | 2019-07-10 |
| 1437630878 | Tara Schroeder | Nurse Practitioner | 9201 E Mountain View Rd, Scottsdale, AZ 85258 | 2018-08-23 |
| 1245766179 | Cherline Felissant | Registered Nurse | 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 | 2017-05-11 |
| 1235663667 | Sherry Ledesma | Registered Nurse | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2017-04-12 |
| 1386177236 | Cynthia Calvert | Registered Nurse | 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 | 2017-04-07 |
| 1437690625 | Harrieth Nnadi | Registered Nurse | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2017-03-20 |
| 1639615305 | Charlotte Braxton | Registered Nurse | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2017-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
| 1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
| 1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
| 1558843060 | Jennifer Shakesby Mcadoo | Nurse Practitioner | 9201 E Mountain View Rd Ste 220i, Scottsdale, AZ 85258-5199 | 2018-08-30 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1235588542 | Megan Lee Gorst | Nurse Practitioner | 14809 N 73rd St Ste 202, Scottsdale, AZ 85260-3104 | 2016-06-07 |
| 1831579218 | Leslie Ann Moses-grubenhoff | Nurse Practitioner | 13450 N 80th Pl, Scottsdale, AZ 85260-3503 | 2015-06-01 |
| 1528379807 | Diana L Handler | Nurse Practitioner | 9377 E Bell Rd Ste 225, Scottsdale, AZ 85260-1850 | 2010-07-01 |
| 1346479995 | Joshua J Lambert | Nurse Practitioner | 10858 E. Cosmos Circle, Scottsdale, AZ 85260-7161 | 2009-07-03 |
| 1568583441 | Maria Elizabeth Bautista-perez | Nurse Practitioner | 7337 E 2nd St, Scottsdale, AZ 85251-5603 | 2007-04-02 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
Please comment or provide details below to improve the information on CHARLOTTE MARIE TACK.
| 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.