Active NPI
Tacara Nichole Anderson, APRN, FNP-C
- Family Nurse Practitioner
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016648
- Practice address
- 11618 Clayton Blvd
Clayton, NC 27520-2275 - Phone
- (919) 416-8010
- NPI assigned
- Aug 12, 2020
- Last updated
- Jan 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016648 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024180193 | VA | |
| Family Nurse Practitioner | 363LF0000X | AC003520 | MD |
Addresses
Primary practice location
11618 Clayton Blvd
Clayton, NC 27520-2275
Mailing address
11618 Clayton Blvd
Clayton, NC 27520-2275
Phone (919) 416-8010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, NC, FL, CO, MI, NH, DE, MD, VT, WV, PA, NY, NM, MO, CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 17
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621
11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (212) 734-6621
1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621
1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621
20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621
228 Smith Chapel Rd
Mount Olive, NC 28365-1917
Phone (212) 734-6621
2710 Gateway Oaks Dr
Suite 150N
Sacramento, CA 95833-3502
Phone (817) 966-0621
596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621
715 E King St
Seaford, DE 19973-3505
Phone (212) 734-6621
9200 Franklin Square Dr
Baltimore, MD 21237-4458
Phone (212) 734-6621
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC003520 | MD | MD | Family Nurse Practitioner |
| 5016648 | NC | MD | Family Nurse Practitioner |
| 0024180193 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mi Post Acute Specialists PC | Single Specialty | Current | Accepting new patients |
| Dr Medical Services PC | Single Specialty | Current | Accepting new patients |
| Post Acute Specialists, LLC | Single Specialty | Current | Accepting new patients |
| Dr Rebman BH LLC | Single Specialty | Current | Accepting new patients |
| Daniel Funsch Jr, M.D., P.C. | Single Specialty | Current | Accepting new patients |
| Daniel Funsch Jr, M.D., Professional Corporation | Single Specialty | Current | Accepting new patients |
| Texas Post Acute Specialists, PA | Single Specialty | Current | Accepting new patients |
| Post Acute Specialists of Vermont PLC | Single Specialty | Current | Accepting new patients |
| Dr Rebman Medical PA | Single Specialty | Current | Accepting new patients |
| Dr Vezza Medical Services PC | Single Specialty | Current | Accepting new patients |
| Theoria Medical | Past | Accepting new patients | |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Saint Francis Medical Center | Single Specialty | Past | Accepting new patients |
Locations (25 of 41)
2710 Gateway Oaks Dr
Ste 150N
Sacramento, CA 95833
Phone (817) 966-0621
1660 Allison St
Lakewood, CO 80214
Phone (303) 232-7177
715 E King St
Seaford, DE 19973
Phone (302) 536-5628
5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583
1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400
633 NE 167th St
Ste 301
North Miami Beach, FL 33162
10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038
347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181
1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273
9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441
515 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 784-4494
228 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 658-9522
25 Ridgewood Rd
Bedford, NH 03110
Phone (603) 222-0303
20 Maitland St
Concord, NH 03301
Phone (516) 817-7093
239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561
677 Court St
Keene, NH 03431
Phone (603) 354-4157
175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340
103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300
3594 E Tremont Ave
Ste 100
Bronx, NY 10465
Phone (718) 239-7176
885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990
100 9th St
McKeesport, PA 15132
Phone (412) 422-6800
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- New York, NY
- NPI 1316784580
FL, NM, Single Specialty, WV
-
- Emergency Medicine Physician
- New York, NY
- NPI 1376389163
CA, Single Specialty
-
- Family Medicine Physician
- Miami, FL
- NPI 1669276689
DE, NC, NH, Single Specialty, VA, VT, WA, WV
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
DE, FL, MD, MO, NC, NH, VA, VT, WA, WV
-
- Multi-Specialty Clinic/Center
- New York, NY
- NPI 1053012401
FL, NM, Single Specialty
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
DE, FL, MD, NC, NH, Single Specialty, VA, VT, WA, WV
-
- Family Medicine Physician
- Lyndonville, VT
- NPI 1639700719
Single Specialty
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
NC, Single Specialty
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1013425479
Single Specialty
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seaford Center
- Skilled Nursing Facility
- Seaford, DE
- NPI 1518149269
Nursing home
-
dba Larkin Chase Center
- Skilled Nursing Facility
- Bowie, MD
- NPI 1760598155
Nursing home
-
dba The Rehabilitation Center of Albuquerque
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1699967760
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767398400000",
"number": "1053922294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11618 CLAYTON BLVD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202275",
"telephone_number": "919-416-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11618 CLAYTON BLVD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202275",
"telephone_number": "919-416-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TACARA",
"middle_name": "NICHOLE",
"name_prefix": "Ms.",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2026-01-03",
"certification_date": "2026-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016648",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180193",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC003520",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
- Always Family First Autism Services LLC.
- Always There Home Care & Consulting, LLC
- American Vets Mobility & Equipment Corp.
- Mercy Obioma Anagbogu, RN
- Benjamin R Anderson, PA-C
- Anew U Community Counseling Center
- Animal Assisted Therapy of the Triangle
- Anuvu Consulting Group
- Christina Arackal, PHARMD
- Ashay Counseling Agency (Ashay Counseling Agency, PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.