TARA SPENCER MOSS (NPI# 1679660187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679660187 |
Entity Type | Individual |
Full Name | TARA SPENCER MOSS |
Credential | PAC |
Practice Address |
770 10th Street Arcata CA 95521 |
Mailing Address |
670 Ninth Street Suite 203 Arcata CA 95521 |
Practice Telephone | 7078268610 |
Practice Fax Number | 7078268623 |
Mailing Telephone | 7078268633 |
Mailing Fax Number | 7078268638 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2017-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17518 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558662320 | Tara Fregin Moss | Social Worker | 200 Spencer Ter Se, Leesburg, VA 20175-5648 | 2010-11-10 |
1255371118 | Tara Moss | Anesthesiologist Assistant | 1001 Johnson Ferry Rd, Scottish Rite Dept of Anes, Atlanta, GA 30342 | 2006-06-08 |
Street Address |
770 10TH STREET |
City | ARCATA |
State | CA |
Zip Code | 95521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255435533 | Open Door Community Health Centers | Obstetrics & Gynecology | 770 10th Street, Arcata, CA 95521 | 2006-09-08 |
1821184979 | Ellen Amy Weiss | Family Medicine | 770 10th Street, Arcata, CA 95521 | 2006-10-05 |
1437246295 | Sarah Anne Scher | Family Medicine | 770 10th Street, Arcata, CA 95521 | 2006-10-05 |
1174619787 | Susan Jane Riesel | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-04 |
1336234806 | Lynn Marie Szabo | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1699869305 | Kate Jean Koelmel | Registered Nurse | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1194819888 | Norman Joseph Bell | Pediatrics | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1386739845 | David Jeffrey Horwitz | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1457445157 | Elaine Frances Reynolds | Registered Nurse | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1811081524 | Lisa Marguerite Hoyt | Nurse Practitioner | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
Find all providers in zip 95521 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053970327 | Lorissa J Lorenzo-trujillo | Physician Assistant | 4715 Valley East Blvd Ste 3, Arcata, CA 95521-3586 | 2019-06-11 |
1861589442 | Joan Peavey Hughes | Physician Assistant | 785 18th St, Arcata, CA 95521-5683 | 2006-10-06 |
1336234806 | Lynn Marie Szabo | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1386739845 | David Jeffrey Horwitz | Physician Assistant | 770 10th Street, Arcata, CA 95521 | 2006-10-03 |
1568460608 | Anthony Max Rousselot | Physician Assistant | 1600 Weeot Way, Arcata, CA 95521-4734 | 2005-07-12 |
1316945454 | Debra R Harrison | Physician Assistant | 1600 Weeot Way, Arcata, CA 95521-4734 | 2005-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.