Tara Marie Tjulander

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

279866 Issued in CA

Practice address

3985 Northland St
Newbury Park, CA 91320-4226

Phone

(805) 368-5592

NPI assigned

Sep 15, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1164144192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 NORTHLAND ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 NORTHLAND ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204226",
            "telephone_number": "805-368-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJULANDER",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "279866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "3985 Northland St",
            "city": "Newbury Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913204226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ttjulander@hillmonthousemhrc.com",
            "affiliation": "N",
            "address_1": "3985 Northland St",
            "city": "Newbury Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913204226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Newbury Park, CA
• Licensed Vocational Nurse in California

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