TARA RAE THOMPSON (NPI# 1710226204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710226204 |
| Entity Type | Individual |
| Full Name | TARA RAE THOMPSON |
| Credential | APRN |
| Practice Address |
5604 Coliseum Blvd Ste B Alexandria LA 71303-3993 |
| Mailing Address |
412 Ansley Blvd Apt E Alexandria LA 71303-2282 |
| Practice Telephone | 3184875282 |
| Mailing Telephone | 3187913772 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP 07195 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIANA STATE BOARD OF NURSING PRESCRIPTIVE AUTHORITY | PA 080109 | 01 |
| LA | 2337483 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760984751 | Tara Georganne Thompson | Physical Therapist | 99 Spring Brook Ct, Etna, OH 43062-8058 | 2018-03-06 |
| 1013469162 | Tara Thompson | Nurse Practitioner | 3311 Society Dr, Claymont, DE 19703-1711 | 2016-10-25 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1417088048 | Tara Sunshine Thompson | Specialist | 1008 S 40th Ave, Yakima, WA 98908-3804 | 2007-03-07 |
| 1285629402 | Tara Jo Thompson | Chiropractor | 102 W Main St., Wyanet, IL 61379-0010 | 2005-09-14 |
| 1942848916 | Tara M Thompson | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-12-20 |
| 1568972511 | Tara Ashley Thompson | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2017-10-04 |
| 1013434521 | Tara Thompson | Pharmacist | 6095 Pine Mountain Rd Nw Ste 108, Kennesaw, GA 30152-3332 | 2017-08-25 |
| 1942726047 | Tara Thompson | Physician Assistant | 4320 E. Presidio Street, #101, Mesa, AZ 85215-1165 | 2017-08-21 |
| 1235652942 | Tara M Thompson | General Practice | 4824 E Baseline Rd Ste 140, Mesa, AZ 85206-4680 | 2017-07-25 |
| Street Address |
5604 COLISEUM BLVD STE B |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588719215 | Chaquetta Thomas Johnson | Nurse Practitioner | 5604a Coliseum Blvd, Alexandria, LA 71303-3709 | 2007-01-24 |
| 1144684622 | Melissa Klausman | Nurse Practitioner | 8101 Hinson Farm Rd, Alexandria, VA 22306-3403 | 2016-04-11 |
| 1073974150 | Jolie Ainsworth | Nurse Practitioner | 5604b Coliseum Blvd, Alexandria, LA 71303-3709 | 2016-03-16 |
| 1437535358 | Kathleen Martin Bell | Nurse Practitioner | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-08-03 |
| 1427474063 | Sara Duke Grey | Nurse Practitioner | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2014-03-06 |
| 1174803936 | Christus Health Central Louisiana | Nurse Practitioner | 3330 Masonic Dr, Women's Wellness Center, Alexandria, LA 71301-3841 | 2011-08-25 |
| 1770879108 | Kaylin Spence Corley | Nurse Practitioner | 501 Medical Center Dr, Suite 4a, Alexandria, LA 71301-8124 | 2011-06-23 |
| 1215177134 | Danielle Marie Newkirk | Nurse Practitioner | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2009-03-05 |
| 1689768962 | Elizabeth Parkinson-wyner | Nurse Practitioner | 2 E Glebe Rd, Alexandria, VA 22305-2938 | 2006-10-03 |
| 1043292139 | Melanie Tharp | Nurse Practitioner | 501 Medical Center Dr, Suite 200, Alexandria, LA 71301-8124 | 2005-11-15 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on TARA RAE THOMPSON.
| 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.