Tara Tierra Tate, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

340779 Issued in OH

Practice address

4800 Country Lane
304
Warrensville HTS, OH 44128-6104

Phone

(216) 978-4350

NPI assigned

Aug 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1902186372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 COUNTRY LANE",
            "address_2": "304",
            "city": "WARRENSVILLE HTS",
            "state": "OH",
            "postal_code": "441286104",
            "telephone_number": "216-978-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 COUNTRY LANE",
            "address_2": "304",
            "city": "WARRENSVILLE HTS",
            "state": "OH",
            "postal_code": "441286104",
            "telephone_number": "216-978-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "TARA",
        "middle_name": "TIERRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "340779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Maria Sbrocco, N.D., LAC
• Bianka Schmidt, PHARMD
• Dalbir Singh, PA-C
• Suburban Cardiology Services
• Suburban Internal Medicine Services
• The Cleveland Clinic Foundation
• Ellen Mary Trifiletti, RD LD CDE
• Warrensville Physical Medicine & Chiropractic Rehabilitation, LLC
• Lolisa Denise Wiley, LPN
• Avery Woods

• All providers in Warrensville HTS, OH
• Medical-Surgical Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.