Individual provider Active NPI

Tara Monday, D.O.

  • Pediatric Adolescent Medicine Physician
  • Florence, KY
National Provider Identifier
1063740249
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
03485 Issued in KY
Practice address
7370 Turfway Rd
Suite 280
Florence, KY 41042-4895
Phone
(859) 212-4567
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 03485 KY
Pediatrics Physician 208000000X 34.010565 OH
Pediatric Adolescent Medicine Physician 2080A0000X 03485 KY Primary

Addresses

Primary practice location

7370 Turfway Rd
Suite 280
Florence, KY 41042-4895

Mailing address

2835 Rolling Green CT
Burlington, KY 41005-7886
Phone (859) 380-8332

Other identifiers 1

IdentifierTypeStateIssuer
7100207600MedicaidKY

Other names 1

  • Tara Palmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03485KYMDPediatrics Physician
34.010565OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Care of Kentucky PSC Pediatrics Past Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Paul J Janson MD PSC Adolescent Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tara.monday.p6@direct.kypeds.nextgenshare.com
  • Direct secure messaging: tara.monday.pcky@direct.cps.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1063740249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 ROLLING GREEN CT",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410057886",
            "telephone_number": "859-380-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 TURFWAY RD",
            "address_2": "SUITE 280",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424895",
            "telephone_number": "859-212-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDAY",
        "first_name": "TARA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03485",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.010565",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "KY",
            "license": "03485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100207600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PALMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.