Tara Ann Pankey, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1066971 Issued in TX

Practice address

119 Medical Park LN Ste D
Huntsville, TX 77340-4980

Phone

(936) 277-1000

NPI assigned

Jan 19, 2022

Last updated

Jan 19, 2022By the provider in NPPES

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adnan Afzal, MD PA

  dba Healing Hearts Clinic

  • Cardiovascular Disease Physician
  • Conroe, TX
  • NPI 1396935714
  Medicare reassignment NPD
• Pulse Physician Organization PLLC

  • Cardiovascular Disease Physician
  • Huntsville, TX
  • NPI 1073087599
  Medicare reassignment
• Pulse Healthcare System LLC

  • Cardiovascular Disease Physician
  • Tomball, TX
  • NPI 1609753763
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1083366223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MEDICAL PARK LN STE D",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404980",
            "telephone_number": "936-277-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MEDICAL PARK LN STE D",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404980",
            "telephone_number": "936-277-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKEY",
        "first_name": "TARA",
        "middle_name": "ANN",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1066971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "server",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "119 Medical Park Ln Ste D",
            "city": "Huntsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773404980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ortho Advance LLC (Ortho Advance Medical Supply)
• Orelon Josephine Osei, PHARMD
• Ekundayo Osho, PHARM.D
• Ronald B Ostmann, CRNA
• Toks Owo, MD
• Brian Parker Sr., LAT, ATC
• Sharon Eressie Parker, P. A.
• Stavan Pankaj Parmar, M.D.
• Lisa Joy Parrott, FNP-C
• Krina Patel, PHARMD, BCPP

• Acute Care Nurse Practitioner in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.