Tara Stubbs

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

24-017795 Issued in IN

Practice address

3812 Screech Owl Cir
Indianapolis, IN 46228-1512

Phone

(317) 790-8360

NPI assigned

Oct 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1548082142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SCREECH OWL CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281512",
            "telephone_number": "317-790-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 SCREECH OWL CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462281512",
            "telephone_number": "317-790-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "IN",
            "license": "24-017795",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "24-017795",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "24-017795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Stuart III, DDS
• Sam Stuart
• John Marshall Stubblefield, MSW, LSW
• Dawana L Stubbs, MD
• Robert Stubbs III
• Allyson Judith Stuckey, PA-C
• Christina Marie Stuckey, LCSW
• Paige Stuckey, SLP
• Sarah Elizabeth Stuckey
• Ashley Mackenzie Stuckwisch

• Personal Care Attendant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.