Allyson Maria Tabor, R.N., P.H.N.

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

517796 Issued in CA

Practice address

1360 Johnson Blvd Ste 103
South Lake Tahoe, CA 96150-8201

Phone

(530) 573-3027

NPI assigned

May 23, 2007

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497965248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 CLEMENT ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506329",
            "telephone_number": "530-544-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 JOHNSON BLVD STE 103",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508201",
            "telephone_number": "530-573-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "ALLYSON",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "R.N., P.H.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "517796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Brianna Sutherlin
• Aimie N Sutton, LPCC
• Cynthia Marie Swalm, CADC-II A3620592
• Elizabeth Mae Swope, D.D.S.
• T. Rutner DDS Dental Corporation
• Tahoe Basin Behavior Analysis, LLC
• Tahoe Carson Valley Medical Group Inc
• Tahoe Carson Valley Medical Group Inc
• Tahoe Coalition for the Homeless
• Tahoe Emergency Physicians Medical Corporation

• All providers in South Lake Tahoe, CA
• Community Health/Public Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.