MRS. TARYN PETTY (NPI# 1881143469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881143469 |
| Entity Type | Individual |
| Full Name | MRS. TARYN PETTY |
| Credential | NP-C |
| Practice Address |
31 Sibley St Hammond IN 46320 |
| Mailing Address |
31 Sibley St Hammond IN 46320-1725 |
| Practice Telephone | 2198028800 |
| Practice Fax Number | 2198028801 |
| Mailing Telephone | 2198028800 |
| Mailing Fax Number | 2198028801 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014893 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 434 Sandpiper Dr, Schererville, IN 463752989 | 7082120029 |
| Street Address |
31 SIBLEY ST |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629502810 | Midwest Express Care 4 LLC | Clinic/Center | 31 Sibley St, Ste A, Hammond, IN 46320-1725 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| 1912384306 | William Register | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320 | 2015-05-05 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189544 | Tiffany Burrowes | Nurse Practitioner | 41137 James Robert Dr, Hammond, LA 70403-7520 | 2020-06-24 |
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
| 1508327735 | Naina Chhokar | Nurse Practitioner | 6933 Kennedy Ave Ste C, Hammond, IN 46323-2210 | 2019-03-29 |
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1154797132 | Sharon Hughes | Nurse Practitioner | 2511 Hwy. 190 E, Hammond, LA 70401 | 2015-08-13 |
| 1407128598 | Family Health Care and Wellness Center | Nurse Practitioner | 2511 Highway 190 E, Hammond, LA 70401-8510 | 2012-02-03 |
| 1205124310 | Letarsha Roulette Campbell | Nurse Practitioner | 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 | 2011-07-11 |
| 1881992568 | Pauline E Burrall | Nurse Practitioner | 15770 Paul Vega Md Dr Ste 104, Hammond, LA 70403-1475 | 2011-03-04 |
| 1396050324 | Barbara Lumbarkoski | Nurse Practitioner | 777 Casino Center Dr, Hammond, IN 46320-1003 | 2010-08-14 |
| Find all providers in HAMMOND | ||||
Please comment or provide details below to improve the information on MRS. TARYN PETTY.
| 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.