TARA L SPRADLEY (NPI# 1386804664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386804664 |
| Entity Type | Individual |
| Full Name | TARA L SPRADLEY |
| Credential | RN |
| Practice Address |
107 H St Poplar MT 59255 |
| Mailing Address |
Po Box 67 Poplar MT 59255-0067 |
| Practice Telephone | 4067683491 |
| Practice Fax Number | 4067683603 |
| Mailing Telephone | 4067683491 |
| Mailing Fax Number | 4067683603 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0300X |
Registered Nurse Specialization: Nephrology |
N26110 | ID | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BOARD OF NURSING | N-26110 | 01 |
| MT | 2210078 | 05 |
| Street Address |
107 H ST |
| City | POPLAR |
| State | MT |
| Zip Code | 59255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659483048 | Fort Peck Tribes | Clinic/Center | 107 H St, Poplar, MT 59255-1027 | 2006-08-31 |
| 1548740368 | Erin Gockel | Nurse Practitioner | 107 H St, Poplar, MT 59255 | 2018-08-21 |
| 1245618248 | Jennifer Moran | Registered Nurse | 107 H St, Poplar, MT 59255 | 2015-05-11 |
| 1295995579 | Susan Jeannette Cox-foster | Registered Nurse | 107 H St, Poplar, MT 59255 | 2008-06-11 |
| 1700045325 | Dawn Marie Hanks | Registered Nurse | 107 H St, Poplar, MT 59255 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| Find all providers in zip 59255 | ||||
| Taxonomy Code | 163WN0300X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nephrology |
| Definition to come... |
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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.