TARA JOHNSON (NPI# 1174079602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174079602 |
| Entity Type | Individual |
| Full Name | TARA JOHNSON |
| Practice Address |
241 Varden Hill Dr Birmingham AL 35214-1945 |
| Practice Telephone | 2052815437 |
| Mailing Telephone | 2052815437 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-105506 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883706 | Tara Demetria Johnson | Assisted Living Facility | 226 Abalone Rd Nw, Palm Bay, FL 32907-2964 | 2018-06-05 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1275045098 | Tara Johnson | Specialist | 702 Academy Ave Ste B, Dublin, GA 31021-4084 | 2017-11-02 |
| 1427356781 | Tara Johnson | Case Manager/Care Coordinator | 137 Farnsworth Blvd, Soldotna, AK 99669-7601 | 2011-03-09 |
| 1902101405 | Tara Johnson | Licensed Practical Nurse | 4850 Wilson Burt Rd, Wilson, NY 14172-9654 | 2011-01-14 |
| 1982906111 | Tara Denise Johnson | Technician | 1749 E Fremont Rd, Phoenix, AZ 85042-5740 | 2010-11-19 |
| 1316557838 | Tara Johnson | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-08-10 |
| 1447899638 | Tara Lashay Johnson | Chiropractor | 3417 Shelby Ray Ct, Charleston, SC 29414-5895 | 2020-01-06 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| 1477046233 | Tara K Johnson | Occupational Therapist | 7055 Mexico Rd Unit 1601, Saint Peters, MO 63376-2344 | 2018-06-07 |
| Street Address |
241 VARDEN HILL DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35214-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194238881 | French Town Residential LLC | Clinic/Center | 1000 Avenue W., Birmingham, AL 35214 | 2017-11-16 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1124241294 | Cheri W. Cunningham | Dentist | 2129 Forestdale Blvd, Birmingham, AL 35214 | 2007-04-10 |
| 1831258219 | Brewis Pharmacy Inc | Pharmacy | 1548 Forestdale Blvd, Birmingham, AL 35214 | 2006-12-08 |
| 1114032307 | Bruno's Supermarket's, LLC. | Durable Medical Equipment & Medical Supplies | 1940 Forestdale Blvd, Forestdale, AL 35214 | 2006-08-20 |
| 1770552077 | Larry Wayne Taylor | Family Medicine | 6554 Aaron Dr, Fairfield, AL 35214 | 2006-03-17 |
| 1518934140 | Carey Wayne Ketchum | Internal Medicine | 1664 Forestdale Blvd, American Family Care Inc Forestdale Clinic, Forestdale, AL 35214 | 2006-03-02 |
| 1144609991 | Mary Irby | Speech-Language Pathologist | 245 Cahaba Valley Parkway, Birmingham, AL 35214 | 2015-05-27 |
| 1023320769 | Karol Medina Poczatek | Dentist | 2685 Pelham Pkwy, Suite B, Birmingham, AL 35214 | 2010-07-10 |
| 1265623888 | William Brandon Myers | Pharmacist | 1548 Forestdale Blvd, Birmingham, AL 35214 | 2007-08-08 |
| Find all providers in zip 35214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
| 1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
| 1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
| 1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
| 1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35214 |
Please comment or provide details below to improve the information on TARA JOHNSON.
| 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.