Tara Michele Dennison, MSN-ED, BSN, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

RN169796 Issued in GA

Practice address

265 Bicentennial TRL
Rock Spring, GA 30739-2306

Phone

(706) 764-3840

NPI assigned

Oct 20, 2023

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Michele Higdon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1093597239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CLARK ST",
            "city": "CHICKAMAUGA",
            "state": "GA",
            "postal_code": "307071430",
            "telephone_number": "423-509-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BICENTENNIAL TRL",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307392306",
            "telephone_number": "706-764-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "TARA",
        "middle_name": "MICHELE",
        "credential": "MSN-ED, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "GA",
            "license": "RN169796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HIGDON",
            "middle_name": "MICHELE",
            "credential": "MSN-ED, BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• College Health Registered Nurse in Rock Spring, GA
• Providers in Rock Spring, GA by specialty
• College Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.