TRISTAN TAVE (NPI# 1538539010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538539010 |
| Entity Type | Individual |
| Full Name | TRISTAN TAVE |
| Credential | DNP, CRNP, PMHNP-BC |
| Practice Address |
2400 Gordon Smith Dr Mobile AL 36617-2319 |
| Mailing Address |
5750a Southland Dr Mobile AL 36693-3316 |
| Practice Telephone | 2514734423 |
| Mailing Telephone | 2514502211 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-137456 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 GORDON SMITH DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424172 | Marianne Saitz | Psychiatry & Neurology | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2005-08-10 |
| 1790310183 | Deborah Anne Gleason | Social Worker | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2020-03-06 |
| 1275179608 | Joe Lynn Purvis | Social Worker | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2019-11-20 |
| 1831656701 | Kiwana Trechelle Brooks | Nurse Practitioner | 2400 Gordon Smith Dr, Mobile, AL 36617 | 2019-02-26 |
| 1245725902 | Heather Malia Mcgaha | Social Worker | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2018-06-26 |
| 1669827507 | Mark Miele | Counselor | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2016-04-28 |
| 1942661335 | Integrated Healthcare Pharmacy LLC | Pharmacy | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2016-03-11 |
| 1508230764 | Jennifer Strickland Maxey | Counselor | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2015-11-25 |
| 1194199976 | John-david Sheffield | Registered Nurse | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2015-11-17 |
| 1710359195 | Janet Marla Langley | Counselor | 2400 Gordon Smith Dr, Mobile, AL 36617-2319 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467628693 | Sheila Bouler | Nurse Practitioner | 3930 Airport Blvd, Suite F, Mobile, AL 36608-1692 | 2008-05-07 |
| 1043244189 | Lisa Jan Seay | Nurse Practitioner | 6554 Hounds Run N, Mobile, AL 36608-5407 | 2006-07-11 |
| 1992331573 | Krystal Nicole Smith | Nurse Practitioner | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2020-03-16 |
| 1174156103 | Beverly Joyce Ales | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2020-02-18 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1851941397 | Kina Cousin Hooks | Nurse Practitioner | 3209 Midtown Park S, Mobile, AL 36606-4126 | 2019-09-17 |
| 1831656701 | Kiwana Trechelle Brooks | Nurse Practitioner | 2400 Gordon Smith Dr, Mobile, AL 36617 | 2019-02-26 |
| 1184125445 | Tammy Hoadley Lee | Nurse Practitioner | 735 S Washington Ave, Mobile, AL 36603-1301 | 2018-02-22 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on TRISTAN TAVE.
| 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.