Tara L Marsh, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

243034-1 Issued in NY

Practice address

54 Walnut St
Mohawk, NY 13407-1515

Phone

(315) 717-1243

NPI assigned

Dec 11, 2012

Last updated

Feb 3, 2017By the provider in NPPES

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1376888776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WALNUT ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071515",
            "telephone_number": "315-717-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WALNUT ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071515",
            "telephone_number": "315-717-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "243034-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Franco
• Maria Hunt
• Linda Marie Kudrewicz, RN
• Courtney M Lefave
• David D Liu, MD
• Mohawk Central School
• Mohawk Dental Care,PLLC
• Mohawk Medical Supply LLC
• Mohawk Valley Ambulance Corps, Inc (Movac)
• Bharatkumar A Patel, DDS

• Licensed Practical Nurse in Mohawk, NY
• Providers in Mohawk, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.