TARA L. VANBENNEKOM DO – NPI #1134226699
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

TARA VANBENNEKOM is a physician located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1134226699 to TARA VANBENNEKOM on September 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARA VANBENNEKOM below.

NPI Profile for
TARA L. VANBENNEKOM

NPI Number
1134226699
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TARA L. VANBENNEKOM
Credentials
DO
Primary location
304 KINGSLEY LAKE DRIVE
SUITE #603
SAINT AUGUSTINE, FL 32092
Phone: (904) 824-5437 Fax:
Mailing address
201 ST. JOHNS FOREST BLVD
JACKSONVILLE, FL 32259
Phone: (904) 824-5796 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
FL OS 8054

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.