Provider Demographics
NPI:1114564812
Name:ROGERS, TARA KAY (NP)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:KAY
Last Name:ROGERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 23RD AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1501
Mailing Address - Country:US
Mailing Address - Phone:615-983-5427
Mailing Address - Fax:615-284-8637
Practice Address - Street 1:201 23RD AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1501
Practice Address - Country:US
Practice Address - Phone:615-983-5427
Practice Address - Fax:615-284-8637
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000026103207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000026103OtherADVANCED NURSE PRACTITIONER