MISS TARA JEAN TEACHOUT
NPI 1114358306
Student in an Organized Health Care Education/Training Program in Pasadena, CA

Q: What is Tara Teachout's NPI number?

The NPI number for Tara Teachout is 1114358306. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Q: What is Tara Teachout's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Teachout was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2013

2550 E. FOOTHILL BLVD, PACIFIC CLINICS, PASADENA, CA 91107(626) 463-1021(626) 578-0948 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Tara Jean Teachout NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS TARA JEAN TEACHOUT (NPI 1114358306) is an individual student in an organized health care education/training program in Pasadena, California and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1114358306

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS TARA JEAN TEACHOUT

Location Address2550 E. FOOTHILL BLVD, PACIFIC CLINICSPasadena, CA 91107

Mailing Address2550 E. Foothill Blvd, Pacific ClinicsPasadena, CA 91107 · (626) 463-1021 · Fax (626) 578-0948

Phone(626) 463-1021

Fax(626) 578-0948

Sole ProprietorYes

Enumeration DateDecember 12, 2013

✔ NPI 1114358306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2550 E. FOOTHILL BLVD, Pasadena, CA 91107

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE LARSEN-CARSON

Case Manager/Care Coordinator

2550 E. FOOTHILL BLVD
PASADENA, CA 91107

Los Angeles County (626) 463-1021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Teachout's NPI number?

The NPI number for Tara Teachout is 1114358306. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Tara Teachout located?

Tara Teachout practices at 2550 E. Foothill Blvd Pacific Clinics, Pasadena, CA 91107. The listed phone number is (626) 463-1021.

What is Tara Teachout's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tara Teachout was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.