TARA GILLETT (NPI# 1093034696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093034696 |
| Entity Type | Individual |
| Full Name | TARA GILLETT |
| Other Name | TARA CORNELSEN |
| Practice Address |
1660 E Herndon Ave Suite 102 Fresno CA 93720-3359 |
| Practice Telephone | 5594379024 |
| Mailing Telephone | 5594379024 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19381 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1660 E HERNDON AVE SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623969 | Kuldeep S Gill | Internal Medicine | 1660 E Herndon Ave, Suite 101, Fresno, CA 93720-3359 | 2005-07-14 |
| 1508219528 | Adolfo Silva, M.d. | Clinic/Center | 1660 E Herndon Ave, 103, Fresno, CA 93720-3359 | 2016-07-14 |
| 1225480700 | Valley Sleep Specialists, Inc. | Specialist | 1660 E Herndon Ave, Suite 102, Fresno, CA 93720-3359 | 2016-07-07 |
| 1912365891 | Arya Medical Group Corp | Internal Medicine | 1660 E Herndon Ave, Suite # 101, Fresno, CA 93720-3359 | 2016-02-05 |
| 1801292701 | Vijai Daniel Md Inc | Internal Medicine | 1660 E Herndon Ave, Suite 101, Fresno, CA 93720-3359 | 2014-11-05 |
| 1659672178 | John R Mccreary Md Inc | Specialist | 1660 E Herndon Ave, Suite 104, Fresno, CA 93720-3359 | 2010-11-15 |
| 1043473986 | Vijai Joseph Daniel | Internal Medicine | 1660 E Herndon Ave, Suite 101, Fresno, CA 93720-3359 | 2008-07-09 |
| 1891911269 | Anila C. Thampy, M.d., Inc. | Pediatrics | 1660 E Herndon Ave, Suite 102, Fresno, CA 93720-3359 | 2007-04-17 |
| 1548278120 | Howard J Glidden Ph D Psychologist Inc | Clinical Neuropsychologist | 1660 E Herndon Ave, Suite 150, Fresno, CA 93720-3359 | 2006-08-03 |
| 1831106954 | Kurt V. Miller, M.d., Inc. | Psychiatry & Neurology | 1660 E Herndon Ave, Suite 150, Fresno, CA 93720-3359 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1871079509 | Erika Varney | Nurse Practitioner | 6769 N Willow Ave Ste 101, Fresno, CA 93710-5900 | 2018-07-16 |
| 1962861179 | Mary Jo Graves | Nurse Practitioner | 7011 N Howard St Ste 202, Fresno, CA 93720-2955 | 2016-02-16 |
| 1114324738 | Cheryl Martinez | Nurse Practitioner | 1301 M St, Fresno, CA 93721-1807 | 2014-11-25 |
| 1386847945 | Sharon Anne Templeton | Nurse Practitioner | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7809 | 2007-06-08 |
| 1962574814 | Gloria Ann Liu | Nurse Practitioner | 4785 N. First Street, Kaiser Permanente, Fresno, CA 93726 | 2006-11-15 |
| 1043793466 | Jennifer Nelson | Nurse Practitioner | 7720 N Fresno St, Fresno, CA 93720-2407 | 2018-09-11 |
| 1336626209 | Jennifer Lee Ruch | Nurse Practitioner | 7045 N Maple Ave Ste 108, Fresno, CA 93720-8008 | 2018-07-24 |
| 1851819742 | Minal Patel | Nurse Practitioner | 2210 E Illinois Ave Ste 206, Fresno, CA 93701-2184 | 2017-08-31 |
| 1437694155 | Arsia Moua | Nurse Practitioner | 290 N Wayte Ln # 1300, Fresno, CA 93701-2124 | 2017-01-04 |
| Find all providers in FRESNO | ||||
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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.