Active NPI
Tara Foreman
- Licensed Practical Nurse
- Cleveland, OH
National Provider Identifier
1811399926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN91043
- Practice address
- 12714 Crossburn Ave
Cleveland, OH 44135-3723 - Phone
- (216) 663-6100
- Fax
- (216) 663-7113
- NPI assigned
- Sep 19, 2014
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN91043 | OH | Primary |
Addresses
Primary practice location
12714 Crossburn Ave
Cleveland, OH 44135-3723
Mailing address
12714 Crossburn Ave
Cleveland, OH 44135-3723
Phone (216) 835-9074
Other names 1
- Mrs. Tara Foreman
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN91043 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1811399926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12714 CROSSBURN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441353723",
"telephone_number": "216-835-9074",
"fax_number": "216-663-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12714 CROSSBURN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441353723",
"telephone_number": "216-663-6100",
"fax_number": "216-663-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "TARA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN91043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "FOREMAN",
"prefix": "MRS.",
"credential": "LPN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.