MRS. TARA RAE NAGEL (NPI# 1982958799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982958799 |
Entity Type | Individual |
Full Name | MRS. TARA RAE NAGEL |
Credential | CPNP |
Practice Address |
4214 Mamies Cir Midland Pediatric Associates Midland TX 79707 |
Mailing Address |
4214 Mamies Cir Midland TX 79707 |
Practice Telephone | 4326208687 |
Practice Fax Number | 4326821831 |
Mailing Telephone | 4326208687 |
Mailing Fax Number | 4326821831 |
Enumeration Date | 2012-10-31 |
Last Update Date | 2017-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
756895 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4214 MAMIES CIR MIDLAND PEDIATRIC ASSOCIATES |
City | MIDLAND |
State | TX |
Zip Code | 79707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275047896 | Lauren Rocha | Nurse Practitioner | 4214 Mamies Cir, Midland, TX 79707-2123 | 2017-11-17 |
1578949202 | Melissa Bowman | Nurse Practitioner | 4214 Mamies Cir, Midland, TX 79707-2123 | 2015-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
1881711778 | Michael Patrick Wolbert | Allergy & Immunology | 5000 Briarwood Ave., Midland, TX 79707 | 2007-03-23 |
Find all providers in zip 79707 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891931341 | Tonya D Murphy | Nurse Practitioner | 4214 Andrews Hwy Ste 310, Midland, TX 79703-4822 | 2009-01-05 |
1164937736 | Julie Elisabeth Martin | Nurse Practitioner | 5019 Portico Way, Midland, TX 79707-3102 | 2017-12-05 |
1275047896 | Lauren Rocha | Nurse Practitioner | 4214 Mamies Cir, Midland, TX 79707-2123 | 2017-11-17 |
1427568617 | Carena Nicole Sears | Nurse Practitioner | 307 N M St, Midland, TX 79701-6554 | 2017-10-03 |
1881069995 | Briarwood Clinic, LLC | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2015-12-01 |
1578949202 | Melissa Bowman | Nurse Practitioner | 4214 Mamies Cir, Midland, TX 79707-2123 | 2015-08-04 |
1215318092 | Marlena Flores I | Nurse Practitioner | 1900 W Wall St, Suite A, Midland, TX 79701-6527 | 2015-06-17 |
1316290141 | Diana Culp | Nurse Practitioner | 2409 W Illinois Ave, Suite D, Midland, TX 79701-6307 | 2012-10-17 |
1306198270 | Jessica Nicole Salas | Nurse Practitioner | 5000 Briarwood Ave, Suite 203, Midland, TX 79707-2753 | 2012-10-02 |
1033347786 | Jennifer Yeager | Nurse Practitioner | 5801 W Wadley Ave, Midland, TX 79707-5055 | 2009-07-01 |
Find all providers in MIDLAND |
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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.