TARA WICKLINE STONE (NPI# 1730509944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730509944 |
| Entity Type | Individual |
| Full Name | TARA WICKLINE STONE |
| Other Name | TARA WICKLINE |
| Credential | NP |
| Practice Address |
4910 Valley View Blvd Nw Roanoke VA 24012-2040 |
| Mailing Address |
1044 Striper Ct Moneta VA 24121-6401 |
| Practice Telephone | 5402651607 |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172225 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1730509944 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144476359 | Tara K Stone | Occupational Therapy Assistant | 130 Wilson St, Newark, NY 14513-1945 | 2008-08-07 |
| Street Address |
4910 VALLEY VIEW BLVD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409652 | John Daugherty | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2005-12-27 |
| 1851920607 | Peter Hartung | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2020-04-03 |
| 1336609155 | Mitesh Patel | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, 3rd Floor, Roanoke, VA 24012 | 2019-03-20 |
| 1275092660 | Teana Harris | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2019-03-15 |
| 1770002172 | William Edward Pauley IIi | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-09-17 |
| 1447789425 | Hilary L Linderman | Psychologist | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-06-05 |
| 1053869271 | Samantha Smart | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2016-09-16 |
| 1740644673 | Abigail Lubin | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2016-04-06 |
| 1821471459 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4910 Valley View Blvd Nw, Suite L, Roanoke, VA 24012-2040 | 2015-07-01 |
| 1699032060 | Matthew William Kelly | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1356953053 | Jamie Brackenrich | Nurse Practitioner | 6994 Dawnwood Rd, Roanoke, VA 24018-6839 | 2020-08-24 |
| 1164044608 | Denise Pollock | Nurse Practitioner | 6032 Matisse Ln, Roanoke, VA 24018-5335 | 2020-05-07 |
| 1538703061 | Erin Moyer Shinault | Nurse Practitioner | 3559 Meadowlark Rd, Roanoke, VA 24018-5007 | 2019-10-28 |
| 1972146421 | Amy Rose Gregor | Nurse Practitioner | 15645 Pioneer Bluff Trl, Roanoke, TX 76262-1799 | 2019-10-28 |
| 1811409402 | Victor Cisneros | Nurse Practitioner | 3535 Franklin Rd Sw, Roanoke, VA 24014-2255 | 2017-11-03 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1578009346 | Debra Jean Massaro | Nurse Practitioner | 123 Sesame St., Roanoke, VA 24011 | 2017-01-17 |
| 1407216831 | Keri Lynn Baker | Nurse Practitioner | 1 Riverside Cir Fl 4, Roanoke, VA 24016-4961 | 2016-02-26 |
| Find all providers in ROANOKE | ||||
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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.