CAROLYN RENEE TAVARES (NPI# 1922216258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922216258 |
| Entity Type | Individual |
| Full Name | CAROLYN RENEE TAVARES |
| Credential | RN |
| Practice Address |
2192 Mecklenburg Rd Ithaca NY 14850-9322 |
| Practice Telephone | 6072563617 |
| Mailing Telephone | 6072563617 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
363370-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01987508 | 05 |
| Street Address |
2192 MECKLENBURG RD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-9322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665369 | Audrey Hulbert | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-02 |
| 1538281761 | Karen F Haesloop | Registered Nurse | 430 Richard Pl, Ithaca, NY 14850-3131 | 2007-04-06 |
| 1447255575 | Marcia Lynn Beckley | Registered Nurse | 1780 Hanshaw Rd, Ithaca, NY 14850-9105 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407661 | Jeffrey June Angeles | Registered Nurse | 8020 Broadway Apt 4m, Elmhurst, NY 11373-3104 | 2020-11-07 |
| 1760083000 | Misterline Marie Parkes | Registered Nurse | 648 E 105th St, Brooklyn, NY 11236-2506 | 2020-11-03 |
| 1790384881 | Sarah Bast | Registered Nurse | 259 Ithaca Rd, Spencer, NY 14883-9370 | 2020-10-20 |
| 1114525797 | Lavern H Simms | Registered Nurse | 207 Long Beach Rd, Hempstead, NY 11550-7314 | 2020-10-15 |
| 1205434453 | Aida Cino | Registered Nurse | 1522 W 1st St Fl 2, Brooklyn, NY 11204-3501 | 2020-10-10 |
| 1902412968 | Elizabeth Jane Harbin | Registered Nurse | 810 Curtis Ave, Staten Island, NY 10310-2611 | 2020-09-16 |
| 1205441946 | Laura Innes | Registered Nurse | 6 Aldar Ct, Cortlandt Manor, NY 10567-1304 | 2020-09-10 |
| 1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
| 1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| 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.