TARA FRANCES WILSON (NPI# 1487292249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487292249 |
| Entity Type | Individual |
| Full Name | TARA FRANCES WILSON |
| Practice Address |
3600 Route 112 Coram NY 11727-4116 |
| Practice Telephone | 6319208500 |
| Mailing Telephone | 6319208500 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174006035 | Tara Nicole Wilson | Physician Assistant | 110 Irving Sreet Nw, Room 4b-42, Washington, DC 20010-2975 | 2018-09-07 |
| 1740640762 | Tara Starr Wilson | Licensed Practical Nurse | 3011 Ferguson Rd, 2, Cincinnati, OH 45238-2430 | 2016-03-03 |
| 1558700336 | Tara Ann Wilson | Counselor | 309 West 3, Rushville, NE 69360-0779 | 2013-06-14 |
| 1003134347 | Tara Jene Wilson | Specialist/Technologist, Other | 9800 Centre Pkwy, 530, Houston, TX 77036-8271 | 2010-05-11 |
| 1033446877 | Tara Marie Wilson | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2009-11-16 |
| 1386886620 | Tara M Wilson | Specialist/Technologist, Other | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2009-04-01 |
| 1811159106 | Tara Sansone Wilson | Physical Medicine & Rehabilitation | 11539 Park Woods Cir, Suite 502, Alpharetta, GA 30005-4413 | 2008-06-27 |
| 1922176429 | Tara Beth Wilson | Surgery | 1809 E 13th St, Suite 400, Tulsa, OK 74104-4419 | 2006-12-01 |
| 1194899740 | Tara D Wilson | Emergency Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-11-17 |
| 1083790323 | Tara L Wilson | Dentist | 5710 Whitmore Lake Rd, Brighton, MI 48116-1902 | 2006-10-30 |
| Street Address |
3600 ROUTE 112 |
| City | CORAM |
| State | NY |
| Zip Code | 11727-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417083973 | Mary Ringlen | Social Worker | 3600 Route 112, Coram, NY 11727-4116 | 2007-02-26 |
| 1760081277 | Ally Danielle Liff | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1407456940 | Imani Alexia Nunez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1174137038 | Jennifer Stosch | Social Worker | 3600 Route 112, Coram, NY 11727-4116 | 2020-09-08 |
| 1144834979 | Christina Cona | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-31 |
| 1225648033 | Brianna Gallina | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-06 |
| 1871119750 | Michele Piediscalzo | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1235755117 | Justine Biscardi | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1992321889 | Andy Melendez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-06-17 |
| 1740804426 | Jaclynn Paduano | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354744 | Susana Barros-sierra | Student in an Organized Health Care Education/Training Program | 60 Chardonnay Dr, Coram, NY 11727-2433 | 2020-04-14 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1215330717 | Hyon Bae | Student in an Organized Health Care Education/Training Program | 3600 Rte 112, Coram, NY 11727 | 2014-09-29 |
| 1073871430 | Anastasia Plaunova | Student in an Organized Health Care Education/Training Program | 21 Country Club Dr, Apt. I, Coram, NY 11727-3416 | 2012-04-24 |
| 1093080236 | Laura Cheney | Student in an Organized Health Care Education/Training Program | 19 Country Club Dr, Apt B, Coram, NY 11727-3414 | 2012-03-21 |
| 1487850251 | Stony Brook University Medical Center | Student in an Organized Health Care Education/Training Program | 2428 Avalon Pines Dr, Coram, NY 11727-5169 | 2007-06-26 |
| 1760081277 | Ally Danielle Liff | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1407456940 | Imani Alexia Nunez | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-10-26 |
| 1508465469 | Toni Deleonardis | Student in an Organized Health Care Education/Training Program | 7 Hayes Ln, Coram, NY 11727-3081 | 2020-10-21 |
| 1144834979 | Christina Cona | Student in an Organized Health Care Education/Training Program | 3600 Route 112, Coram, NY 11727-4116 | 2020-08-31 |
| Find all providers in CORAM | ||||
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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.