Individual provider Active NPI

Tara Veith, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1154015162
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351975-01 Issued in NY
Practice address
1415 Portland Ave Ste 500
Rochester, NY 14621-3043
Phone
(585) 922-5700
Fax
(585) 922-5775
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 F351975-01 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 500
Rochester, NY 14621-3043

Mailing address

1718 Division St
Palmyra, NY 14522-9343
Phone (315) 945-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240525000011 NY Practitioner - Nurse Practitioner 8921440678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary M. Gooley Hemophilia Center IncGroup PAC ID 8325225527, 6 clinicians

Practice addresses (Care Compare)

1415 Portland Ave
Suite 500
Rochester, NY 14621-3043
Phone (585) 922-5700

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F351975-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary M. Gooley Hemophilia Center Inc CurrentSince Mar 19, 2024 Accepting new patients

Locations

1415 Portland Ave
Ste 500
Rochester, NY 14621
Phone (585) 922-5700

Interoperability endpoints

  • Direct secure messaging: tveith166282@direct.rochesterregional.org

Organizations & group practices 1

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1154015162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 DIVISION ST",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145229343",
            "telephone_number": "315-945-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 500",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213043",
            "telephone_number": "585-922-5700",
            "fax_number": "585-922-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEITH",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351975-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.