Tara Diane Cates
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Belvidere, TN
NPI 1295384196 · NPPES record last updated Sep 4, 2019
Key facts
- NPI
- 1295384196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1496 Baxter Hollow Rd
Belvidere, TN 37306-2309 - Phone
- (931) 691-9476
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1496 Baxter Hollow Rd
Belvidere, TN 37306-2309
Mailing address
1496 Baxter Hollow Rd
Belvidere, TN 37306-2309
Phone (931) 691-9476
Other providers in Belvidere, TN
All providers in Belvidere, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.