Tara Leigh Anderson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60171871 Issued in WA

Practice address

13820 19TH Ave NE
Tulalip, WA 98271-6706

Phone

(425) 238-3643

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1053040444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 19TH AVE NE",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716706",
            "telephone_number": "425-238-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 19TH AVE NE",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716706",
            "telephone_number": "425-238-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TARA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60171871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Adams, SUDP
• Susan Lynn Adams, M.S, R.D.
• Bibianna Ancheta, LMT
• Kristi Angstadt
• Miguel Antonio Arteaga, RN, MN
• Kari Baggarley
• William Charles Barrett, RPH
• Bernie Bauman

• Registered Nurse in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.