Active NPI
Tara Marie Peek, RN
- Registered Nurse
- Schenectady, NY
National Provider Identifier
1417223215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 585452-1
- Practice address
- 1633 Avenue a
Schenectady, NY 12308-2223 - Phone
- (518) 605-7210
- NPI assigned
- Mar 26, 2012
- Last updated
- Mar 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 585452-1 | NY | Primary |
Addresses
Primary practice location
1633 Avenue a
Schenectady, NY 12308-2223
Mailing address
1633 Avenue a
Schenectady, NY 12308-2223
Phone (518) 605-7210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 585452-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1417223215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 AVENUE A",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082223",
"telephone_number": "518-605-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 AVENUE A",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082223",
"telephone_number": "518-605-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEK",
"first_name": "TARA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "585452-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
- Megan Carol Pecunia, PHARM.D.
- Pediatric Dentistry of Albany, PLLC (Dental Surgery Suite of Schenectady)
- Pediatric Dentistry of Albany, PLLC (Pediatric Dentistry of Schenectady)
- Estelle Marie Peek, RN
- Lorraine Elizabeth Peek, REGISTERED NURSE
- Bettina Andrea Pels-Wetzel, DDS
- James E Penk, LCSW-R
- Sandra Mackinnon Perdek, NP
- Steven W Perdek, LMHC-D
- Todd Pereira, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.