Linda Kovac-Tantalo, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401203 Issued in NY

Practice address

1386 Hathaway Dr
Farmington, NY 14425-8973

Phone

(585) 396-4190

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Finger Lakes Area Counseling and Recovery Agency, Inc.Group PAC ID 1254683766, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Finger Lakes Area Counseling and Recovery Agency, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Clifton Springs, NY
  • NPI 1366434011
  Medicare reassignment Care Compare group NPD
• Orleans County Department of Mental Health

  • Clinic/Center
  • Albion, NY
  • NPI 1043345713
  Medicare reassignment NPD
• Orleans County Treasurer Office

  • Public Health or Welfare Agency
  • Albion, NY
  • NPI 1922446137
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1013144534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HAWKS NEST CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264894",
            "telephone_number": "585-738-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 HATHAWAY DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258973",
            "telephone_number": "585-396-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAC-TANTALO",
        "first_name": "LINDA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kalen
• Kalina Marie Kienan, OTR/L
• Jessica Kelli Knight, RD
• Sarah Lynn Whalen Kogut, EDS
• Megan Kosachook, LCSW
• Aneesah Lattimore, RN
• Michelle L Lyons, LPN
• Joseph Macomber, RN
• John Michael Manfred, MD
• Mark V Dimartino DDS

• Psychiatric/Mental Health Nurse Practitioner in Farmington, NY
• Providers in Farmington, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.