Tara A Perry, MED.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

449 E Mountain Ridge MHP
Wilkes Barre, PA 18702-8037

Phone

(570) 498-1234

NPI assigned

Aug 19, 2013

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

Credentials

Master of Education

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapyties

  • Early Intervention Provider Agency
  • Whitehall, PA
  • NPI 1316734734
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1114350691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E MOUNTAIN RIDGE MHP",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187028037",
            "telephone_number": "570-498-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E MOUNTAIN RIDGE MHP",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187028037",
            "telephone_number": "570-498-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "TARA",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "MED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Perdomo, LPC
• Performing Arts Training Academy, LLC
• Jeffrey David Perluke, MD
• Jennifer Boberg Perry, PSY.D.
• Saige Perry
• Clarissa Devin Persaud, M.D
• Julie Ann Persing, LSW
• Peter a Feinstein, MD, PC
• Jocelyn Peter
• Amanda Peters-Davis, LPN

• Specialist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.