Active NPI
Tara Dennis, CNP
- Registered Nurse
- Northampton, MA
National Provider Identifier
1063870913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN250410
- Practice address
- 8 Atwood Dr
Northampton, MA 01060-4266 - Phone
- (413) 582-0471
- NPI assigned
- Feb 7, 2016
- Last updated
- Nov 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN250410 | MA | Primary |
Addresses
Primary practice location
8 Atwood Dr
Northampton, MA 01060-4266
Mailing address
8 Atwood Dr Ste 301
Northampton, MA 01060-4266
Phone (413) 773-1314
Other names 1
- Ms. Tara Tripp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN250410 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical & Support Options, Inc | Current | Accepting new patients |
Locations
1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000
8 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 528-0471
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Greenfield, MA
- NPI 1831265115
-
- Adolescent and Children Mental Health Clinic/Center
- Northampton, MA
- NPI 1790795052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1063870913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ATWOOD DR STE 301",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604266",
"telephone_number": "413-773-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ATWOOD DR",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604266",
"telephone_number": "413-582-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "TARA",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-07",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN250410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "TRIPP",
"prefix": "MS.",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.