MRS. TARA JOHNSON (NPI# 1902101405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902101405 |
| Entity Type | Individual |
| Full Name | MRS. TARA JOHNSON |
| Other Name | TARA STAHLI |
| Credential | LPN |
| Practice Address |
4850 Wilson Burt Rd Wilson NY 14172-9654 |
| Practice Telephone | 7169468204 |
| Mailing Telephone | 7169468204 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 273202-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883706 | Tara Demetria Johnson | Assisted Living Facility | 226 Abalone Rd Nw, Palm Bay, FL 32907-2964 | 2018-06-05 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1275045098 | Tara Johnson | Specialist | 702 Academy Ave Ste B, Dublin, GA 31021-4084 | 2017-11-02 |
| 1174079602 | Tara Johnson | Nurse Practitioner | 241 Varden Hill Dr, Birmingham, AL 35214-1945 | 2016-08-25 |
| 1427356781 | Tara Johnson | Case Manager/Care Coordinator | 137 Farnsworth Blvd, Soldotna, AK 99669-7601 | 2011-03-09 |
| 1982906111 | Tara Denise Johnson | Technician | 1749 E Fremont Rd, Phoenix, AZ 85042-5740 | 2010-11-19 |
| 1316557838 | Tara Johnson | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-08-10 |
| 1447899638 | Tara Lashay Johnson | Chiropractor | 3417 Shelby Ray Ct, Charleston, SC 29414-5895 | 2020-01-06 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| 1477046233 | Tara K Johnson | Occupational Therapist | 7055 Mexico Rd Unit 1601, Saint Peters, MO 63376-2344 | 2018-06-07 |
| Street Address |
4850 WILSON BURT RD |
| City | WILSON |
| State | NY |
| Zip Code | 14172-9654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144419557 | Karen Jill Davies | Massage Therapist | 286 Young St, Wilson, NY 14172 | 2007-10-22 |
| 1477606994 | Wilson Central Schools | Local Education Agency (LEA) | 412 Lake St., Wilson, NY 14172 | 2007-01-19 |
| 1447217179 | James Edward Hohensee | Family Medicine | 335 High Street, Wilson, NY 14172 | 2006-04-27 |
| 1063414423 | Elizabeth Botzer | Psychologist | 4373 Chestnut Rd, Wilson, NY 14172 | 2005-08-15 |
| 1093957722 | Advance Chiropractic-wilson P.C. | Chiropractor | 286 Young St., Wilson, NY 14172-0890 | 2009-03-26 |
| 1154757284 | Erica Renee Clement | Occupational Therapist | 229 Dox Ave, Wilson, NY 14172-9521 | 2013-09-20 |
| 1497020341 | Lorrina Christine Kostuk | Speech-Language Pathologist | 3069 Daniels Rd, Wilson, NY 14172-9536 | 2012-03-11 |
| 1356977151 | Annie Coburn Kane, Lcsw PC | Clinic/Center | 638 Lake St # 818, Wilson, NY 14172-9600 | 2020-03-12 |
| 1538710389 | Denise Fay Noble | Military Health Care Provider | 4403 E Lake Rd, Wilson, NY 14172-9641 | 2019-09-24 |
| 1942526967 | Francine Paulette Francioli | Licensed Practical Nurse | 332 Seneca St, Wilson, NY 14172-9668 | 2010-04-15 |
| Find all providers in zip 14172 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588174817 | Melissa M Lassman | Licensed Practical Nurse | 170 Mcchesney St # 2, Wilson, NY 14172-9677 | 2017-09-30 |
| 1477898518 | Sandra Dagostino | Licensed Practical Nurse | 3678 Wilson-cambria Road, Wilson, NY 14172-9715 | 2012-11-30 |
| 1386998391 | Crystal E Wasik | Licensed Practical Nurse | 2592 Cambria Wilson Rd, Wilson, NY 14172-9703 | 2012-10-30 |
| 1942526967 | Francine Paulette Francioli | Licensed Practical Nurse | 332 Seneca St, Wilson, NY 14172-9668 | 2010-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.