Individual provider
MS. TARA TEDRICK, D.C.
CMS NPPES lists MS. TARA TEDRICK as an individual provider record with NPI 1003045295. The current record reports a primary practice location in KAILUA, HI and primary taxonomy code 111N00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location970 N. KALAHEO AVENUEC315KAILUA, HI 96734
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
111N00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 8, 2009
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.