TARA E LEE (NPI# 1093221871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093221871 |
| Entity Type | Individual |
| Full Name | TARA E LEE |
| Credential | NP |
| Practice Address |
20 S Plum St Vermillion SD 57069-3346 |
| Mailing Address |
Po Box 368 Viborg SD 57070-0368 |
| Practice Telephone | 6056773700 |
| Mailing Telephone | 6053265161 |
| Mailing Fax Number | 6053265196 |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R040117 | SD | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001333 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | LICENSE | R040117 | 01 |
| SD | MEDICAL LICENSE | CP001333 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 W Pioneer Ave, Po Box 337, Viborg, SD 57070 | 6053265201 | 6053265196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793746 | Tara Marie Lee | Counselor | 727 8th St # Ll, Baraboo, WI 53913-1794 | 2019-01-07 |
| 1174046015 | Tara K Lee | Social Worker | 112 Barrett Ave, Bayport, NY 11705-1416 | 2017-07-23 |
| 1063780948 | Tara Lee | Counselor | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2011-12-07 |
| 1467578609 | Tara K Lee | Podiatrist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-03-21 |
| Street Address |
20 S PLUM ST |
| City | VERMILLION |
| State | SD |
| Zip Code | 57069-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914597 | Mary J Olson | Family Medicine | 20 S Plum St, Vermillion, SD 57069-3346 | 2005-06-30 |
| 1548874688 | Heidi Hassler | Physician Assistant | 20 S Plum St, Vermillion, SD 57069-3346 | 2020-09-05 |
| 1083126171 | Sarah Grace Fox Aurich | Nurse Practitioner | 20 S Plum St, Vermillion, SD 57069 | 2017-10-29 |
| 1871971481 | Jordana Renae Neeman | Physician Assistant | 20 S Plum St, Vermillion, SD 57069-3346 | 2015-05-14 |
| 1356738918 | Sydney Davis | Nurse Anesthetist, Certified Registered | 20 S Plum St, Vermillion, SD 57069 | 2015-04-22 |
| 1730580051 | Alicia Hanson | Physician Assistant | 20 S Plum St, Vermillion, SD 57069-3346 | 2014-09-05 |
| 1750798039 | Sommer Anstine | Physician Assistant | 20 S Plum St, Vermillion, SD 57069-3346 | 2014-07-17 |
| 1366857559 | Haley Gillen | Physician Assistant | 20 S Plum St, Vermillion, SD 57069-3346 | 2014-06-25 |
| 1255754925 | Merritt Groh | Physician Assistant | 20 S Plum St, Vermillion, SD 57069-3346 | 2014-01-30 |
| 1689010035 | Amanda Duxbury | Family Medicine | 20 S Plum St, Vermillion, SD 57069 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208835 | Joseph Andrew Holstedt | Specialist/Technologist | 1101 N Dakota St, Vermillion, SD 57069 | 2018-09-10 |
| 1588116073 | Kierstin Rebecca Mergens | Health Educator | 1101 North Dakota Street, Vermillion, SD 57069 | 2016-10-31 |
| 1770959991 | Debra Kay Gapp | Counselor | 1120 Valley View Dr., Gapp Counseling Services, Vermillion, SD 57069 | 2015-08-12 |
| 1093191850 | Touching Lives Caregiver, LLC | Home Health | 2 N. Plum St, Vermillion, SD 57069 | 2015-08-04 |
| 1629402474 | Han-zhi Tao | Physical Therapist | 300 S Mickelson Ave, Vermillion, SD 57069 | 2013-08-29 |
| 1457527574 | Sophia Chun Chao | Physical Therapist | 1407 East Cherry St, Great Plains Therapy, Vermillion, SD 57069 | 2008-05-08 |
| 1710008388 | Matthew Richard Knutson | Dentist | 1714 E Cherry St, Vermillion, SD 57069 | 2007-04-02 |
| 1073643029 | City of Vermillion | Ambulance | 820 N Dakota Street, Vermillion, SD 57069 | 2007-03-07 |
| 1235201583 | Vermillion School District | Local Education Agency (LEA) | 17 Prospect Street, Vermillion, SD 57069 | 2006-11-14 |
| 1831677277 | Cassandra Feske | Physical Therapist | 1407 E Cherry St, Vermillion, SD 57069 | 2018-07-28 |
| Find all providers in zip 57069 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043529332 | Lynette Melby | Nurse Practitioner | 437 Park Ln, Vermillion, SD 57069-3132 | 2010-10-04 |
| 1083126171 | Sarah Grace Fox Aurich | Nurse Practitioner | 20 S Plum St, Vermillion, SD 57069 | 2017-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1972139095 | Amanda Wortman | Nurse Practitioner | 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2020-03-20 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1457827834 | Katlyn Elizabeth Rostyne | Nurse Practitioner | 302 S Dumont Ave, Woonsocket, SD 57385 | 2018-10-23 |
| 1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| Find all providers with the same taxonomy | ||||
| City | VERMILLION |
| Zip Code | 57069 |
Please comment or provide details below to improve the information on TARA E LEE.
| 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.