Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lara Mitchell Tate, PA-C

Individual provider Medical Physician Assistant · NPI 1649412560

Mrs. Lara Mitchell Tate, PA-C is a Physician Assistant in Indianapolis, Indiana. Graduated from Barry University School of Podiatric Medicine in 2000, 26 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Trained at
Barry University School of Podiatric Medicine
Licensed in
IN
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8402 Harcourt Rd Ste 120
Indianapolis, IN 46260-2006
Phone: (317) 338-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11700 N Meridian St, Carmel, IN 46032-4656 — (317) 688-3140

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10001051 (IN)

Record details

NPI number1649412560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 25, 2009
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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