Tara Olivo-Moore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00775500 Issued in NJ

Practice address

254B Mountain Ave Ste 304
Hackettstown, NJ 07840-2413

Phone

(908) 852-6400

Fax

(908) 852-6450

NPI assigned

Jan 11, 2018

Last updated

Jan 11, 2018By 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

Other names 1

• Ms. Tara Olivo-Moore Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Community Medical Services PCGroup PAC ID 5991016933, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Encompass Health Home Health Home health agency, Ludlow, MA, CCN 227611
• Caretenders Home health agency, Needham Heights, MA, CCN 227269
• Vna Care Network Home health agency, Worcester, MA, CCN 227098
• Ascend Hospice Hospice, Worcester, MA, CCN 221566

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.

• First Choice Community Medical Services PC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1922492966
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Alternatives of Massachusetts, LLC

  dba Ascend Hospice

  • Community Based Hospice Care Agency
  • Worcester, MA
  • NPI 1053379388
  Care Compare affiliation
• Caretenders VS of Boston, LLC

  dba Caretenders

  • Home Health Agency
  • Needham Heights, MA
  • NPI 1396929048
  Care Compare affiliation
• Excella Home Health Agency, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Ludlow, MA
  • NPI 1356642110
  Care Compare affiliation
• Vna Care Network, Inc.

  • Home Health Agency
  • Worcester, MA
  • NPI 1922002286
  Care Compare affiliation

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1134637200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE STE 304",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-852-6400",
            "fax_number": "908-852-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE STE 304",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-852-6400",
            "fax_number": "908-852-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO-MOORE",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00775500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "OLIVO-MOORE",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis O'Grady, OTR/L
• Patricia O'Shea, MSPT
• John Michael Obrien, RPH
• Obstetrics and Gynecology Associates, P.a.
• Nkemamaka Chinenyenwa Okpala, MD
• Edgardo A Ong, MD
• Edward S. Orenstein I
• Patricia Celani Orsini, OTR
• Aderemi Folashade Owoeye
• Devansh Govind Pandey, DO

• Family Nurse Practitioner in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.