Syreeta Nicole Tarboro, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP54574 Issued in MD

Practice address

3725 Providence Point Dr SE
Issaquah, WA 98029-7219

Phone

(215) 960-1171

NPI assigned

Nov 28, 2023

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

State licenses

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1235905670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 GOVERNOR BRIDGE RD APT 304C",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163679",
            "telephone_number": "215-960-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 PROVIDENCE POINT DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297219",
            "telephone_number": "215-960-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBORO",
        "first_name": "SYREETA",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP54574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Tanner, D.D.S.
• Nancy Tapia
• Simon B Tapia, LMP
• Amanda E Tapp, L.M.T.
• Sara Elisabeth Tapsak, PSY.D.
• Jovonne R Taylor
• Kay Howard Taylor, MD
• Steven D. Taylor, D.C.
• Terri Truesdale DC LLC
• Terry L Jacobson MD PLLC

• Licensed Practical Nurse in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.