Individual provider Active NPI

Tara D Meddings

  • Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1144912783
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0035931 Issued in OH
Practice address
1257 Vine St
Coshocton, OH 43812-2450
Phone
(740) 502-3896
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN.431023 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0035931 OH
Nurse Practitioner 363L00000X APRN.CNP.0035931 OH Primary

Addresses

Primary practice location

1257 Vine St
Coshocton, OH 43812-2450

Mailing address

1257 Vine St
Coshocton, OH 43812-2450
Phone (740) 502-3896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241107003256 OH Practitioner - Nurse Practitioner 8224562640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Surgical Associates, Inc.Group PAC ID 3577566371, 26 clinicians
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians
Ohio Wound Care Associates LLCGroup PAC ID 7719393032, 17 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (440) 652-8748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.431023OHMDEmergency Registered Nurse
APRN.CNP.0035931OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Surgical Associates, Inc. Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Lake Effect Health Nurse Practitioner Current Accepting new patients
Encore Clinical Services LLC Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Ohio Wound Care Associates LLC Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients

Locations

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1144912783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 VINE ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122450",
            "telephone_number": "740-502-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 VINE ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122450",
            "telephone_number": "740-502-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDDINGS",
        "first_name": "TARA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN.431023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035931",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0035931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.