Tara Noel Harkless, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN112307 Issued in OH

Practice address

6906 E Front St
Rear
Sciotoville, OH 45662-7111

Phone

(740) 821-5819

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1134480692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 E FRONT ST",
            "address_2": "REAR",
            "city": "SCIOTOVILLE",
            "state": "OH",
            "postal_code": "456627111",
            "telephone_number": "740-821-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 E FRONT ST",
            "address_2": "REAR",
            "city": "SCIOTOVILLE",
            "state": "OH",
            "postal_code": "456627111",
            "telephone_number": "740-821-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKLESS",
        "first_name": "TARA",
        "middle_name": "NOEL",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN112307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF NURSING",
            "identifier": "PN112307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Ann Bear, LPN
• Cynthia Ann Buffinger, LPN
• Shannon Lynn Caudill I, RN.318943
• Ciara Jade Elswick
• Valerie K Giannetti-Horton, RDLD
• Sherri Jane Jackson, R.N.
• Lettie Ellen Johnson, MSW. LISW-S
• Sciotoville Community School
• Sciotoville Elementary Academy
• Mary Lou Scott, LPN

• All providers in Sciotoville, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.