TARA E. KEGERIS (NPI# 1184009961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184009961 |
| Entity Type | Individual |
| Full Name | TARA E. KEGERIS |
| Credential | FNP-C |
| Practice Address |
8607 E Us Highway 36 Ste 100 Avon IN 46123-7960 |
| Practice Telephone | 3177455403 |
| Mailing Telephone | 3177455403 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005791A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8607 E US HIGHWAY 36 STE 100 |
| City | AVON |
| State | IN |
| Zip Code | 46123-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467553149 | Christopher M Wilson | Psychiatry & Neurology | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2006-09-26 |
| 1972104461 | Jennifer Pelley | Registered Nurse | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2020-11-03 |
| 1457983579 | Robin Lynn Shaver | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2020-02-06 |
| 1659756484 | Matthew Nettleman | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2015-07-22 |
| 1528490224 | Christina M Mcclain | Physician Assistant | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2013-08-05 |
| 1215252754 | Daniel Kevin Storey | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2010-03-27 |
| 1437318706 | Abbie M Tolliver | Internal Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2008-06-03 |
| 1437368479 | Praveen C Perni | Orthopaedic Surgery | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2007-05-22 |
| 1194808436 | Mark Benson | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-23 |
| 1497844393 | Mary Schmoll | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040093 | Maria Pihlblad | Nurse Practitioner | 39265 Arlington Dr, Avon, OH 44011-4781 | 2020-07-07 |
| 1861975658 | Tonya Erdle | Nurse Practitioner | 39 Fisk Pl, Avon, NY 14414-1213 | 2018-09-08 |
| 1336669886 | Rachel L Hickman | Nurse Practitioner | 850 West Beaver Creek Blvd, Avon, CO 81620-9201 | 2017-06-26 |
| 1730609447 | Amber Eades | Nurse Practitioner | 1111 Ronald Reagan Pkwy Ste B-1500, Avon, IN 46123-7085 | 2017-06-23 |
| 1467999151 | Jaime M Hopper | Nurse Practitioner | 7828 Village Green Dr, Avon, IN 46123-7228 | 2017-01-19 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1386000479 | Danielle Pfeffer | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 283, Avon, IN 46123-6914 | 2016-01-06 |
| 1710284526 | Jennifer Ann Barnes | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123-6913 | 2011-02-15 |
| 1609185206 | Melanie Marie Block-thralls | Nurse Practitioner | 10706 East Us Highway 36, Avon Urgent Care, Avon, IN 46123 | 2010-09-29 |
| 1811164593 | Kathy Gretton | Nurse Practitioner | 1675 Rosewood Dr, Avon, IN 46123-6552 | 2008-05-13 |
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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.