TARRA SIMONE


Address: 621 W Madrone St, Roseburg, OR 97470-3090
Phone: 5414403571

TARRA SIMONE (NPI# 1740693779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740693779
Entity Type Individual
Full Name TARRA SIMONE
Credential RN
Practice Address 621 W Madrone St
Roseburg
OR 97470-3090
Practice Telephone 5414403571
Practice Fax Number 5419573704
Mailing Telephone 5414403571
Mailing Fax Number 5419573704
Enumeration Date 2014-06-06
Last Update Date 2014-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
201390453RN OR Nursing Service Providers

Office Location

Street Address 621 W MADRONE ST
City ROSEBURG
State OR
Zip Code 97470-3090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174571244 Linda Lou Westfall Nurse Practitioner 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 2006-05-04
1093322919 Natasha Ritson Peer Specialist 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-24
1427664630 Sara Clark Peer Specialist 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-22
1538775754 Aurora Petterson Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-22
1730794884 Paige Nicole Hosford Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-14
1922612035 Fatima Jalloh Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-04
1013528272 Mae L Hoopes Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-08-12
1265040018 Angelica Laurent Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-07-17
1417574898 Bryn Orr Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-07-01
1508481912 Jeremy Michael Smith Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578980918 Diane Carol Robinson Registered Nurse 4285 Stella St, Roseburg, OR 97471-4771 2014-03-24
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1497002018 Katherin Stone Registered Nurse 219 Buena Vista Ln, Roseburg, OR 97471-4401 2012-08-14
1457643629 Paige Leigh Fisher Registered Nurse 248 Buffalo Ln, Roseburg, OR 97471-9766 2011-05-06
1952572422 Barbara J. Holmes Registered Nurse 268 Bramble Way, Roseburg, OR 97470-9364 2008-03-12
1518987262 Dora Haymond Registered Nurse 8041 N Bank Rd, Roseburg, OR 97470-9466 2006-07-19
1780064220 Ashley N Pittam Registered Nurse 621 W Madrone St, Roseburg, OR 97470-3090 2015-05-30
1669738738 Anita Ruth Mcintyre Registered Nurse 621 W Madrone St, Roseburg, OR 97470-3090 2012-04-03
1942570999 Carol Lynn Daniels Registered Nurse 621 W Madrone St, Roseburg, OR 97470-3090 2012-01-09
1649540600 Kieta Lee Registered Nurse 621 W Madrone St, Roseburg, OR 97470-3090 2012-01-09
Find all providers in ROSEBURG

Competitor

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City ROSEBURG
Zip Code 97470

Improve Information

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Dataset Information

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.

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