Tara Eisenacher, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.004966 Issued in OH

Practice address

1 Tiger TRL
Loveland, OH 45140-1976

Phone

(513) 608-9396

NPI assigned

Feb 11, 2015

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

Other names 1

• Tara Handley Former name

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1851782858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 JULIE TER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153963",
            "telephone_number": "513-608-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIGER TRL",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401976",
            "telephone_number": "513-608-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENACHER",
        "first_name": "TARA",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HANDLEY",
            "credential": "AT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Loveland, OH
• Providers in Loveland, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.