TARA ANDERSON
NPI 1235600297
Licensed Practical Nurse in Brooklyn, NY

Q: What is Tara Anderson's NPI number?

The NPI number for Tara Anderson is 1235600297. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Tara Anderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Anderson was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 16, 2018

6321 NEW UTRECHT AVE FL 2, BROOKLYN, NY 11219(212) 687-7464(718) 799-1049 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tara Anderson NPPES

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

TARA ANDERSON (NPI 1235600297) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (758042) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1235600297

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTARA ANDERSON

Location Address6321 NEW UTRECHT AVE FL 2Brooklyn, NY 11219-5425

Mailing Address6321 New Utrecht Ave Fl 2Brooklyn, NY 11219-5425 · (212) 687-7464 · Fax (718) 799-1049

Phone(212) 687-7464

Fax(718) 799-1049

Sole ProprietorYes

Enumeration DateDecember 16, 2018

✔ NPI 1235600297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 758042

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6321 NEW UTRECHT AVE FL 2, Brooklyn, NY 11219

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Other Providers at the Same Location NPPES 6

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

FUNMI SODA

Licensed Practical Nurse