TARA WOODALL (NPI# 1942692157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942692157 |
Entity Type | Individual |
Full Name | TARA WOODALL |
Practice Address |
1120 15th St Augusta GA 30912-0004 |
Mailing Address |
1499 Walton Way Ste. 1400 Augusta GA 30901-2602 |
Practice Telephone | 7067246100 |
Mailing Telephone | 7067246100 |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-03-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
160860 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1120 15TH ST |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518909662 | Katrina Mcmanus Main-dorsky | Nurse Practitioner | 34 Gabriel Drive, Family Planning Association of Maine, Augusta, ME 04332 | 2006-06-12 |
1437137130 | Linda Sue Young | Nurse Practitioner | 43 Gabriel Dr, Augusta, ME 04330-7852 | 2006-01-04 |
1508407438 | Stephanie Nicole Stallings | Nurse Practitioner | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2019-10-02 |
1184195216 | Sheryl Campbell-ellis | Nurse Practitioner | 1215 George C Wilson Dr Ste 3b, Augusta, GA 30909-5706 | 2018-12-16 |
1528492568 | Nancy Lee Hoehn | Nurse Practitioner | 1220 George C. Wilson Drive, Suite A, Augusta, GA 30909 | 2013-08-27 |
1447540711 | Jennifer Albritton Sapp | Nurse Practitioner | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2011-04-07 |
1619298015 | Felicia Royster | Nurse Practitioner | 2100 Central Ave, Suite # 7, Augusta, GA 30904-6717 | 2010-06-20 |
1407173446 | Dana Tucker | Nurse Practitioner | 1551 Augusta Chatham Rd, Augusta, KY 41002-9224 | 2010-04-30 |
1538287727 | Alaba Risikat Adeshigbin | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2007-03-26 |
1952434862 | Meredith Ann Hunt | Nurse Practitioner | 43 Gabriel Dr, Augusta, ME 04330-7852 | 2007-03-13 |
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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.