Individual provider Active NPI

Tara Jacqueleen Wright, BSE, CMPSS

  • Peer Specialist
  • Santa Barbara, CA
National Provider Identifier
1518709591
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-CFKOYZ Issued in CA
Practice address
2013 Chapala St Apt 4
Santa Barbara, CA 93105-3947
Phone
(805) 617-3007
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-CFKOYZ CA Primary

Addresses

Primary practice location

2013 Chapala St Apt 4
Santa Barbara, CA 93105-3947

Mailing address

2013 Chapala St Apt 4
Santa Barbara, CA 93105-3947
Phone (805) 617-3007

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

State licenses

LicenseStateTypeSpecialty
MPSS-CFKOYZCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1518709591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 CHAPALA ST APT 4",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053947",
            "telephone_number": "805-617-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 CHAPALA ST APT 4",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053947",
            "telephone_number": "805-617-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TARA",
        "middle_name": "JACQUELEEN",
        "credential": "BSE, CMPSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-CFKOYZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.