MRS. TARA M. HOLDER (NPI# 1023160330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023160330 |
| Entity Type | Individual |
| Full Name | MRS. TARA M. HOLDER |
| Credential | APRN, ENP, FNP |
| Practice Address |
755 N 11th Street Suite P-5200 Beaumont TX 77702-1522 |
| Practice Telephone | 4098982994 |
| Practice Fax Number | 4098995542 |
| Mailing Telephone | 4098982994 |
| Mailing Fax Number | 4098995542 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 660917 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00141387 | 01 |
| TX | 1658650-01 | 05 | |
| TX | AETNA | 7702695 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8N6091 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588027254 | Tara Ayanna Farha Holder | Student in an Organized Health Care Education/Training Program | Duke University Hospital, 2301 Erwin Road, Durham, NC 27710-0001 | 2016-03-31 |
| Street Address |
755 N 11TH STREET SUITE P-5200 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824671 | Tamerla Dawn Chavis | Neurological Surgery | 755 N 11th Street, Suite P5500, Beaumont, TX 77702 | 2005-07-08 |
| 1548656903 | Tammy Toups | Nurse Practitioner | 755 N 11th Street, Suite P5200, Beaumont, TX 77702 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614641 | Matthew Carter | Nurse Practitioner | 3030 North St Ste 460, Beaumont, TX 77702-1499 | 2019-02-01 |
| 1598272338 | Kare Infusion Center LLC | Nurse Practitioner | 6755 Phelan Blvd Ste 46, Beaumont, TX 77706-6077 | 2018-01-02 |
| 1407108715 | Garrett Benjamin Roy | Nurse Practitioner | 4347 Phelan Blvd Ste 101, Beaumont, TX 77707-2159 | 2012-10-10 |
| 1629328919 | Leslie F Anslem | Nurse Practitioner | 3080 College St., Beaumont, TX 77701-4606 | 2012-09-13 |
| 1003976531 | Lynda Marie Few | Nurse Practitioner | 3560 Delaware St # 601, Beaumont, TX 77706-3067 | 2006-12-12 |
| 1073525697 | Connie L Brown | Nurse Practitioner | 155 Ih-10 North, Ste: 1, Beaumont, TX 77707 | 2006-08-12 |
| 1508894528 | Tammy L Stout | Nurse Practitioner | 3406 College St # 100, Beaumont, TX 77701-4612 | 2006-06-29 |
| 1407884844 | Susan J Lundy | Nurse Practitioner | 3430 Fannin St, Beaumont, TX 77701-3803 | 2006-06-28 |
| 1932143351 | Emma Rachele Davis | Nurse Practitioner | 3060 Fm 3514, Beaumont, TX 77705 | 2006-06-15 |
| 1578513040 | Shawn Rooney Gray | Nurse Practitioner | 857 E. Virginia, Beaumont, TX 77705 | 2006-05-12 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on MRS. TARA M. HOLDER.
| 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.