Tara Gillett, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

19381 Issued in CA

Practice address

9300 Valley Childrens PL # Ge07
Madera, CA 93636-8761

Phone

(559) 353-6277

NPI assigned

May 20, 2010

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

Other names 1

• Tara Cornelsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: tgillett13948@valleychildrens-prd.direct-ci.com

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1093034696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # GE07",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-392-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # GE07",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETT",
        "first_name": "TARA",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "19381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CORNELSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harneet Kaur Gill
• Jasdip Kaur Gill, FNP-C
• Jeffry Marcus Gill, M.D.
• Swaranjit Singh Gill, FNP-C, PMHNP-BC, DNP
• Rachel Ann Gillam, BS
• Cherie F. Ginwalla, M.D.
• Carol Giovacchini, M.A.
• Ael Len Girardeau, R.A.S.
• Aryana Giron Hernandez
• Irene Alina Giron-Chavez

• Pediatric Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.