Tara B Anderson, PA
Physician Assistant in New Haven, Connecticut
1295814119- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-200-4737
- Fax
- —
- Last updated
- November 25, 2015
Tara Beth Anderson is a Physician Assistant based in New Haven, CT. Tara Beth Anderson practices in New Haven, CT and has the professional credentials of PA. The NPI Number for Tara Beth Anderson is 1295814119 and holds a License No. 5601003748 (MI). The current practice location address for Tara Beth Anderson is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-200-4737.
Provider Profile Details
- NPI Number
- 1295814119
- Provider Name
- Tara Beth Anderson
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-200-4737
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- -- Tara Kendall (Former Name)
- Provider Enumeration Date
- November 2, 2006
- Last Update Date
- November 25, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-200-4737
Provider Business Mailing Address Details
- Address
- 30 Sandlewood Dr
Madison, CT 06443 - City
- Madison
- State
- CT
- Zip
- 06443
- Phone Number
- 734-417-0884
License Information
- License Number (1)
- 5601003748
- License State (1)
- MI
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA 00782
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 003174
- License State (3)
- CT
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tara B Anderson, PA?
The NPI number of Tara B Anderson, PA is 1295814119. It was assigned on November 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Tara B Anderson, PA?
Tara B Anderson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MI under license number 5601003748.
Where does Tara B Anderson, PA practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-200-4737 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295814119 directly on the NPPES registry website.