Active NPI
Tara Sulser, RN
- Occupational Health Registered Nurse
- College Station, TX
National Provider Identifier
1104330901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Registered Nurse
- License
- 9156458-3102
- Practice address
- 508 Thornton CT
College Station, TX 77840-5078 - Phone
- (801) 604-3124
- NPI assigned
- Dec 1, 2017
- Last updated
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 9156458-3102 | UT | Primary |
Addresses
Primary practice location
508 Thornton CT
College Station, TX 77840-5078
Mailing address
508 Thornton CT
College Station, TX 77840-5078
Phone (801) 604-3124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9156458-3102 | UT | MD | Occupational Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1104330901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 THORNTON CT",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778405078",
"telephone_number": "801-604-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 THORNTON CT",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778405078",
"telephone_number": "801-604-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULSER",
"first_name": "TARA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "UT",
"license": "9156458-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
- Sulik Sheridan Anderson Inc (Sheridan on Anderson)
- Sulik Sheridan Rock Priarie Inc. (Sheridan on Rock Prairie)
- Amy Elizabeth Sullivan, LPC
- Kelly Ingrid Sullivan, MD
- Seth J. Sullivan, M.D.
- Mark Sultenfuss, MD
- Summit Pediatrics
- Elizabeth Sunderman
- Rachel Supercinski, LM, CPM, IBCLC
- Shruti Surya, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.