TARA SHANTI KANE PNP NPI 1982885414

NPI Information

NPI: 1982885414
Provider Name: TARA SHANTI KANE, PNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110
Phone: (619) 398-0355
Get Directions

Tara Shanti Kane, PNP is a psychiatric/mental health nurse practitioner in San Diego, CA with 18 years of experience. Tara Shanti Kane, PNP NPI is 1982885414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110-850
Phone: (619) 398-0355
Fax: (619) 398-0350

The NPI 1982885414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 2/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		SP017314	PENNSYLVANIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN.0995403-NP	COLORADO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60794626	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	400990	NEW YORK	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95015265	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	911020106	MEDICAID	WASHINGTON
2	00618162	OTHER	NEW YORK	EMPLOYER MEDICAID NUMBER
3	39062A	OTHER	NEW YORK	EMPLOYER MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »