Active NPI
Tara Yaravitz, R.N
- Home Health Registered Nurse
- Webster, NY
National Provider Identifier
1629491816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 6623991
- Practice address
- 933 Klem Rd
Webster, NY 14580-8643 - Phone
- (336) 327-3251
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 6623991 | NY | Primary |
Addresses
Primary practice location
933 Klem Rd
Webster, NY 14580-8643
Mailing address
933 Klem Rd
933 Klem Road
Webster, NY 14580-8643
Phone (336) 327-3251
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 |
|---|---|---|---|
| 6623991 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1629491816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 KLEM RD",
"address_2": "933 KLEM ROAD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145808643",
"telephone_number": "336-327-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 KLEM RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145808643",
"telephone_number": "336-327-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARAVITZ",
"first_name": "TARA",
"name_prefix": "Mrs.",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "6623991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.