Tara Selvaggio, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

471463 Issued in NY

Practice address

81 Lake Ave
Rochester, NY 14608-1410

Phone

(585) 368-8847

NPI assigned

Jul 31, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1164688990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081410",
            "telephone_number": "585-368-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081410",
            "telephone_number": "585-368-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAGGIO",
        "first_name": "TARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "471463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yassir Selouani, MD
• Ashley Selover Peer
• Laurie Anne Selover
• Laurie E Seltzer, DO
• Lisa Seltzer
• Nerosanth Selvarajah, MD
• Candida R Semidei-Diaz, LMT
• Blanca Semidey-Colon, RN
• Isobel Malone Semmens
• Jocelyn Semple, BEC, CBD

• Adult Psychiatric/Mental Health Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.