Active NPI
Tara Graves Gunter, NP
- Adult Health Nurse Practitioner
- Asheboro, NC
National Provider Identifier
1093033060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5004718
- Practice address
- 1207 S Cox St Ste Ab
Asheboro, NC 27203-6911 - Phone
- (336) 625-1172
- Fax
- (336) 625-6434
- NPI assigned
- May 14, 2010
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5004718 | NC | Primary |
Addresses
Primary practice location
1207 S Cox St Ste Ab
Asheboro, NC 27203-6911
Mailing address
PO Box 2005
Asheboro, NC 27204-2005
Phone (336) 625-1172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004718 | NC | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1093033060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2005",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272042005",
"telephone_number": "336-625-1172",
"fax_number": "336-625-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 S COX ST STE AB",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036911",
"telephone_number": "336-625-1172",
"fax_number": "336-625-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "TARA",
"middle_name": "GRAVES",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-14",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5004718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.