DR. TARA CLARK (NPI# 1083199269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083199269 |
| Entity Type | Individual |
| Full Name | DR. TARA CLARK |
| Credential | PMHDNP |
| Practice Address |
600 S Dobson Rd Ste E36 Chandler AZ 85224-5693 |
| Mailing Address |
1143 W Lantana Dr Chandler AZ 85248-3719 |
| Practice Telephone | 4804718560 |
| Mailing Telephone | 4803308151 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2018023496 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731186 | Tara Clark | Community Health Worker | 3030 Grill Rd, New Franklin, OH 44216-9320 | 2015-02-02 |
| 1013270917 | Tara Annette Clark | Specialist | 24 Libby Ave, Hicksville, NY 11801-1737 | 2012-06-17 |
| 1376853762 | Tara Lynn Clark | Counselor | 3539 Dianna Way, Wenatchee, WA 98801-9142 | 2010-10-19 |
| 1750345245 | Tara A Clark | Family Medicine | 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5493 | 2006-04-13 |
| 1770125114 | Tara Clark | Behavior Technician | 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 | 2019-10-16 |
| 1053971911 | Tara Lowe Clark | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-06-13 |
| 1720574957 | Tara Clark | Speech-Language Pathologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-11 |
| 1124520986 | Tara Clark | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2018-03-07 |
| 1760980783 | Tara M Clark | Speech-Language Pathologist | 3501 Taylor Ave, Nottingham, MD 21236-4406 | 2018-01-24 |
| 1285081299 | Tara Maria Clark | Nurse Practitioner | 380 N Reservation Rd, Porterville, CA 93257-9673 | 2016-05-19 |
| Street Address |
600 S DOBSON RD STE E36 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184039968 | Kionglee Jung | Nurse Practitioner | 600 S Dobson Rd Ste E36, Chandler, AZ 85224-5693 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1053923599 | Nancy Ogoti Monyenye | Nurse Practitioner | 2518 E Indian Wells Pl, Chandler, AZ 85249-4166 | 2020-08-17 |
| 1659899045 | Maricopa Christian Psychiatry Group, LLC | Nurse Practitioner | 3130 N Arizona Ave Ste 101, Chandler, AZ 85225-7162 | 2017-09-06 |
| 1356724728 | Chitra Mathew | Nurse Practitioner | 70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 | 2015-07-03 |
| 1104234574 | Lydia Corazon Samin Alvarez | Nurse Practitioner | 4742 W Oakland St, Chandler, AZ 85226-2926 | 2014-07-29 |
| 1982963658 | Shirley Ann Sheroian | Nurse Practitioner | 3873 W Park Ave, Chandler, AZ 85226-1390 | 2012-05-15 |
| 1114199759 | Stephen Earl Pray IIi | Nurse Practitioner | 3283 E Oriole Way, Chandler, AZ 85286-5669 | 2008-03-24 |
| 1609930932 | Life Journey Psychiatric Pllc | Nurse Practitioner | 3655 E. Bluebird Place, Chandler, AZ 85249 | 2006-12-21 |
| 1184696569 | Grace R Keckeisen | Nurse Practitioner | 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 | 2006-02-01 |
| 1346864238 | Tiffany Stradling | Nurse Practitioner | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-05 |
| Find all providers in CHANDLER | ||||
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| 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.