Tara Allen, APRN
Individual provider Active NPI Family Nurse Practitioner · Owensboro, KY
NPI 1124772736 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1124772736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3017347 (KY)
- Practice address
- 2801 New Hartford Rd
Owensboro, KY 42303-1320 - Phone
- (270) 683-3720
- Fax
- (270) 686-7331
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health, Inc
Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
2801 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 683-3720
Hospital & facility affiliations
- Owensboro Health Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318002573 | KY | Practitioner - Nurse Practitioner | 6507203262 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc. | Family | Current |
Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Family | Current |
Accepting new patients |
| Owensboro Health Medical Group, Inc | Family | Past | Accepting new patients |
Locations
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2801 New Hartford Rd
Owensboro, KY 42303
Phone (270) 683-3720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3017347 | KY | Yes |
Addresses
Primary practice location
2801 New Hartford Rd
Owensboro, KY 42303-1320
Mailing address
4100 Red Clover Dr
Owensboro, KY 42303-8307
Other practice location 1
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000
Other providers in Owensboro, KY
- Haley Elizabeth Aldridge
- Mari-Grace Alexander
- Pir Khalid Ali
- All Care Home Health
- Nicole M Allen
- Tarin Rose Allen
- Allergy and Asthma Specialists PSC
- Allergy and Asthma Specialists, PSC
- Allergy and Asthma Specialists, PSC
- Alliance Behavioral Health and Wellness LLC
All providers in Owensboro, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.