Tara Dillon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.17287-NP Issued in OH

Practice address

73 Mill St Ste C
Gahanna, OH 43230-3080

Phone

(614) 654-0002

Fax

(407) 602-0851

NPI assigned

Apr 30, 2015

Last updated

Dec 27, 2025By 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

Medicare fee-for-service enrollment

Enrolled in OH, AZ, NM3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Holon Health Great Lakes PCGroup PAC ID 1759742919, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Holon Health Great Lakes, P.C.

  dba Holon Health

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1194414805

  AZ, NM, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837

  OH

  Medicare reassignment Care Compare group NPD
• Caremed Ohio LLC

  • Multi-Specialty Clinic/Center
  • Kenton, OH
  • NPI 1669123949
  Medicare reassignment NPD
• Pinnacle Care Providers, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1578799417

  Family

  Medicare reassignment NPD
• Skill Doc 101, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1043647803
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  OH

  Medicare reassignment NPD
• Up Bus Digital

  • Nurse Practitioner
  • Gahanna, OH
  • NPI 1396582086
  NPD Authorized official
• Hospice of Central Ohio

  dba Palliative Care of Central Ohio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newark, OH
  • NPI 1265532246
  NPD (past)
• Holon Health, Inc.

  • Addiction Medicine (Preventive Medicine) Physician
  • Elizabethtown, KY
  • NPI 1942902093
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1124405915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MILL ST STE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303080",
            "telephone_number": "614-654-0002",
            "fax_number": "407-602-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MILL ST STE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303080",
            "telephone_number": "614-654-0002",
            "fax_number": "407-602-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 S 12th Ave Ste 132",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857063187",
            "country_code": "US",
            "telephone_number": "877-465-6650",
            "fax_number": "804-294-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17287-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Michele Deshetler, M.S.P.T.
• Developmental Associates, LLC
• Ryan David Dick, D.C.
• Alyssa Christine Dillon, FNP
• Kade Neal Dillon, COTA
• Patrick Joseph Dineen, MD
• Diseases of the Ears, Nose and Throat, Inc
• Divine Home Health Care LLC
• Kay Frances Dixon-Bell, PMHNP-BC
• Cameron Djukic, DPT

• Family Nurse Practitioner in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.