TARA ANDERSON (NPI# 1083174866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083174866 |
| Entity Type | Individual |
| Full Name | TARA ANDERSON |
| Practice Address |
611 Forest Ave Maysville KY 41056-1411 |
| Practice Telephone | 6065644016 |
| Practice Fax Number | 6065648288 |
| Mailing Telephone | 6065644016 |
| Mailing Fax Number | 6065648288 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 000000 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1225553944 | Tara Anderson | Respiratory Therapist, Registered | 7611 Parkridge Way, Savage, MN 55378-1747 | 2017-08-03 |
| 1649636788 | Tara Anderson | Acupuncturist | 1500 Graham Hill Rd Ste A, Santa Cruz, CA 95060-1349 | 2016-01-05 |
| 1144565169 | Tara Jo Anderson | Acupuncturist | 3118 Kimball Ave, Waterloo, IA 50702-5253 | 2012-12-03 |
| 1770736993 | Tara Letitia Anderson | Counselor | 3312 Surf Avenue, Jbfcs, Brooklyn, NY 11224 | 2008-10-31 |
| 1811165780 | Tara Anderson | Specialist | 7846 Golf Point Dr Se, Caledonia, MI 49316-7779 | 2008-02-13 |
| 1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
| 1831710599 | Tara Ann Anderson | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-05-04 |
| 1295355378 | Tara Anderson | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-20 |
| 1215499413 | Tara L Anderson | Counselor | 130 Southern School Rd, Somerset, KY 42501-3223 | 2019-04-05 |
| Street Address |
611 FOREST AVE |
| City | MAYSVILLE |
| State | KY |
| Zip Code | 41056-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265474449 | Jane Fay | Case Manager/Care Coordinator | 611 Forest Ave, Maysville, KY 41056-1411 | 2006-06-12 |
| 1942841861 | Linda Stahl | Registered Nurse | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-10-02 |
| 1568003671 | Cara Graves | Registered Nurse | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-10-01 |
| 1568013977 | Tanji Shivener | Registered Nurse | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-09-26 |
| 1790336105 | Melissa Meyer | Registered Nurse | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-09-26 |
| 1457902801 | Alexandra Watt | Registered Nurse | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-09-26 |
| 1164080073 | Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | Clinic/Center | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-06-05 |
| 1790246544 | Emily Fryman | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-03-26 |
| 1235690975 | Jennifer Nitz | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-03-26 |
| 1083178206 | Justa Thomas | Health Educator | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1700380375 | Tina Kinney | Nurse Practitioner | 420 W Martin Luther King Hwy, Maysville, KY 41056 | 2018-03-20 |
| 1760901227 | Judith I Marks | Home Health Aide | 211 Houston Ave, Maysville, KY 41056 | 2017-09-15 |
| 1205292299 | Mari Campbell | Physical Therapy Assistant | 479 Tucker Drive, Maysville, KY 41056 | 2016-01-07 |
| 1548545353 | Fit 'n' Trim, Ltd | Dietary Manager | 901 Us 68, Suite 200, Maysville, KY 41056 | 2011-10-13 |
| 1194962696 | Susan L Mccoy | Occupational Therapist | 300 Wood St. #231, Maysville, KY 41056 | 2009-01-21 |
| 1033321930 | Mason Co Health Dept. | Public Health or Welfare | 130 East Second Street, Maysville, KY 41056 | 2007-05-04 |
| 1477671428 | Brown & Payne Home Medical Inc | Durable Medical Equipment & Medical Supplies | 13 East 2nd Street, Maysville, KY 41056 | 2007-03-27 |
| 1760522296 | Mason County Schools | Local Education Agency (LEA) | 34 East Second and Limestone Streets, Maysville, KY 41056 | 2007-02-07 |
| 1275687337 | Buffalo Trace Childrens Advocacy Center | Voluntary or Charitable | 224 Limestone Street, Maysville, KY 41056 | 2007-01-23 |
| Find all providers in zip 41056 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899558 | Aaron Foley | Prevention Professional | 408 Purity Way, Richmond, KY 40475-5635 | 2020-07-28 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1558994079 | Allison Myers | Prevention Professional | 1212 Bath Ave Fl 8, Ashland, KY 41101-2696 | 2020-02-13 |
| 1659938835 | Philip Edward Parrott | Prevention Professional | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2019-05-23 |
| 1528533114 | Sammy Castle | Prevention Professional | 1212 Bath Ave, Ashland, KY 41101-2696 | 2018-10-10 |
| 1508331109 | Shelly Steiner | Prevention Professional | 1212 Bath Ave, Ashland, KY 41101-2696 | 2018-10-10 |
| 1922573518 | Amy Jeffers | Prevention Professional | 1212 Bath Ave, Ashland, KY 41101-2696 | 2018-10-10 |
| 1790220739 | Veronica Jones | Prevention Professional | 125 S Main Cross St, Louisa, KY 41230-1065 | 2016-12-29 |
Please comment or provide details below to improve the information on TARA ANDERSON.
| 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.