Provider Demographics
NPI:1962884759
Name:CALL, TARA (MS, RD, LMNT)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:
Last Name:CALL
Suffix:
Gender:F
Credentials:MS, RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W LEOTA ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6525
Mailing Address - Country:US
Mailing Address - Phone:308-568-7718
Mailing Address - Fax:
Practice Address - Street 1:83602 S SENECA AVE
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:NE
Practice Address - Zip Code:69161-6111
Practice Address - Country:US
Practice Address - Phone:308-379-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1169133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered