Active NPI
Tara Elizabeth Reber
- Point of Service
- Saint Louis, MO
National Provider Identifier
1083508907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- LC014637630
- Practice address
- 5850 Macklind Ave Unit 273
Saint Louis, MO 63109-3569 - Phone
- (314) 757-8885
- NPI assigned
- Jun 5, 2025
- Last updated
- Jun 5, 2025
- 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 |
|---|---|---|---|---|
| Point of Service | 305S00000X | LC014637630 | MO | Primary |
Addresses
Primary practice location
5850 Macklind Ave Unit 273
Saint Louis, MO 63109-3569
Mailing address
5850 Macklind Ave Unit 273
Saint Louis, MO 63109-3569
Phone (314) 757-8885
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC014637630 | MO | MD | Point of Service |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1083508907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 MACKLIND AVE UNIT 273",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093569",
"telephone_number": "314-757-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 MACKLIND AVE UNIT 273",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093569",
"telephone_number": "314-757-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBER",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MO",
"license": "LC014637630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Carissa Marie Reask, CPNP
- Shawn Robert Reathaford, MD
- Neil F Rebbe, MD PHD
- Laura Rosalie Rebe, BCBA, LBA
- Rebekah L Berkowitz & Assoc Inc
- Victoria Rebman
- Reclaim Resiliency Therapeutic Services LLC
- Daniel Eric Record, CP
- Recovercare, LLC.
- Rectal Diagnostics & Treatment Center (Colon Rectal Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.