Individual provider Active NPI

Tasha Norman, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Port Lavaca, TX
National Provider Identifier
1053716787
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126415 Issued in TX
Practice address
1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone
(361) 552-0325
Fax
(361) 500-6904
NPI assigned
Oct 23, 2014
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126415 TX Primary

Addresses

Primary practice location

1016 N Virginia St
Port Lavaca, TX 77979-3000

Mailing address

1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone (361) 552-0325

Other practice location 1

2321 Village View Loop
Pflugerville, TX 78660-3056
Phone (806) 252-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150803000754 TX Practitioner - Nurse Practitioner 4082928130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical CenterGroup PAC ID 3072403096, 16 clinicians

Practice addresses (Care Compare)

1016 N Virginia St
Port Lavaca, TX 77979-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Nov 1, 2019 Accepting new patients
Memorial Medical Center CurrentSince Jan 17, 2024 Accepting new patients
Memorial Medical Center CurrentSince Jan 17, 2024 Accepting new patients
Timberland Medical Group Family CurrentSince Nov 1, 2019 Accepting new patients
Steven K Foster, MD,PA CurrentSince Jun 1, 2015 Accepting new patients
Memorial Medical Center Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

190 Buttercup Creek Blvd
Cedar Park, TX 78613
Phone (512) 336-5824

450 Cypress Creek Rd
Bldg 5
Cedar Park, TX 78613
Phone (512) 249-1400

1016 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1053716787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793000",
            "telephone_number": "361-552-0325",
            "fax_number": "361-500-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793000",
            "telephone_number": "361-552-0325",
            "fax_number": "361-500-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 Village View Loop",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786603056",
            "country_code": "US",
            "telephone_number": "806-252-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "TASHA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Lavaca, TX

Sources for this page

Verify at the official NPI Registry.