Individual provider Active NPI

Tara Hart, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1134726284
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014860 Issued in KY
Practice address
1030A Burlew Blvd
Owensboro, KY 42303-1735
Phone
(270) 926-2273
Fax
(270) 684-3212
NPI assigned
Oct 1, 2020
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014860 KY Primary

Addresses

Primary practice location

1030A Burlew Blvd
Owensboro, KY 42303-1735

Mailing address

1030A Burlew Blvd
Owensboro, KY 42303-1735
Phone (270) 926-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20210415002450 KY Practitioner - Nurse Practitioner 3072921881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Affiliated Care, PSC CurrentSince Jan 26, 2022 Accepting new patients
Premier Medical Group, PSC Family CurrentSince Jan 26, 2022 Accepting new patients

Locations

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1134726284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030A BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031735",
            "telephone_number": "270-926-2273",
            "fax_number": "270-684-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030A BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031735",
            "telephone_number": "270-926-2273",
            "fax_number": "270-684-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.