TARA MARIE PERNO (NPI# 1891122156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891122156 |
| Entity Type | Individual |
| Full Name | TARA MARIE PERNO |
| Credential | RN |
| Practice Address |
3763 Evans Ave Fort Myers FL 33901-9302 |
| Practice Telephone | 2393326989 |
| Practice Fax Number | 2393382613 |
| Mailing Telephone | 2393326989 |
| Mailing Fax Number | 2393382613 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN9307140 | FL | Nursing Service Providers |
| Street Address |
3763 EVANS AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972557197 | Saluscare, Inc. | Case Management | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2006-05-20 |
| 1326684093 | Susan J Hunter | Licensed Practical Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-11-18 |
| 1790329928 | Christine Toro | Social Worker | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-10-31 |
| 1750936357 | Ameena Brown | Case Manager/Care Coordinator | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-08-09 |
| 1831650464 | Mariah Williams | Case Manager/Care Coordinator | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-03-27 |
| 1174084602 | Danielle Cimeo | Licensed Practical Nurse | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-03-27 |
| 1710441829 | Matthew Keith Sissons | Counselor | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2019-01-23 |
| 1477037166 | Hadi Keylani | Registered Nurse | 3763 Evans Ave, Fort Myers, FL 33901 | 2018-09-19 |
| 1295255875 | Elizabeth Marie Martin | Counselor | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2017-06-23 |
| 1083140552 | Cynthia Ann Shannon | Counselor | 3763 Evans Ave, Fort Myers, FL 33901-9302 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225426703 | Jessica Meyer | Registered Nurse | 3763 Evans Ave Fl 9302, Fort Myers, FL 33901-9302 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613506 | Achieve Psychiatric Wellness Center LLC | Registered Nurse | 1209 Wedgewood Rd, St Johns, FL 32259-9012 | 2020-06-09 |
| 1427618156 | Jinnail Monique Sessions-houston | Registered Nurse | 6204 Spring Lake Ter, Fort Pierce, FL 34951-3105 | 2019-06-14 |
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1194293779 | Eileen Luongo | Registered Nurse | 8300 Sw 44th Ct, Davie, FL 33328-2993 | 2018-11-13 |
| 1134632144 | Debra H Geotis | Registered Nurse | 2061 Se Pyramid Rd, Port St Lucie, FL 34952-5827 | 2017-11-13 |
| 1295855724 | Marleen Kay Mcclatchy | Registered Nurse | 8090 Se River Ln, Stuart, FL 34997-7363 | 2007-03-29 |
| 1710086293 | Sharon Hart | Registered Nurse | 5067 Tamiami Trl E, Naples, FL 34113-4128 | 2006-09-21 |
| 1942202361 | Linda M Register | Registered Nurse | 3275 Nw 99th Way, Coral Springs, FL 33065-4024 | 2005-08-15 |
| 1760965438 | Andrea Nadine Munroe-service | Registered Nurse | 8395 W Oakland Park Blvd Ste C, Sunrise, FL 33351-7346 | 2018-09-10 |
| 1427530625 | Ada Janowicz | Registered Nurse | 555 Stockton St, Jacksonville, FL 32204-2534 | 2018-09-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on TARA MARIE PERNO.
| 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.