Active NPI
Tamara Lynn Herbener-Kallal, FNP-BC
- Nurse Practitioner
- Rifle, CO
National Provider Identifier
1174587216
On this page
- Key facts
- Organizations & group practices5
- Hospital & facility affiliations4
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Rifle, CO
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0002007-NP
- Practice address
- 501 Airport Rd
Rifle, CO 81650-8510 - Phone
- (970) 625-6487
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Rifle, CO
- NPI 1023150927
-
- Skilled Nursing Facility
- Rifle, CO
- NPI 1841374139
-
- Rural Health Clinic/Center
- Parachute, CO
- NPI 1851347223
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Colorado School of Medicine, Denver, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand River Hospital District
Practice addresses (Care Compare)
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462
Hospital & facility affiliations
- Adoration Home Health
- Grand River Hospital District
- Valley View Hospital Association
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 86.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117000068 | CO | Practitioner - Nurse Practitioner | 1456546456 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0002007-NP | CO | MD | Nurse Practitioner |
| APN.002007-NP | CO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand River Hospital District | Current | Accepting new patients |
Locations
501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100
501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APN.002007-NP | CO | |
| Nurse Practitioner | 363L00000X | APN.0002007-NP | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 Airport Rd
Rifle, CO 81650-8510
Mailing address
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6487
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07744238 | Medicaid | CO |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | therbener@qhndirect.org | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2020.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1174587216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AIRPORT RD",
"city": "RIFLE",
"state": "CO",
"postal_code": "816508510",
"telephone_number": "970-625-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AIRPORT RD",
"city": "RIFLE",
"state": "CO",
"postal_code": "816508510",
"telephone_number": "970-625-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBENER-KALLAL",
"first_name": "TAMARA",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "APN.002007-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0002007-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07744238",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "therbener@qhndirect.org",
"affiliation": "N",
"endpointDescription": "Tamara Herbener-Kallal Grand River Hospital DIRECT Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "501 Airport Rd",
"city": "Rifle",
"state": "CO",
"country_code": "US",
"postal_code": "816508510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.