Individual provider Active NPI

Tara D Snyder, NP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1184823528
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12623 Issued in TN
Practice address
105 W Stone Dr Ste 2B
Kingsport, TN 37660-3365
Phone
(423) 247-7500
NPI assigned
Jul 16, 2007
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 12623 TN Primary

Addresses

Primary practice location

105 W Stone Dr Ste 2B
Kingsport, TN 37660-3365

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093

Other names 1

  • Tara Spurling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070828000810 TN Practitioner - Nurse Practitioner 7315039849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Kingsport, TN 37660-3365
Phone (423) 247-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
High Risk Obstetrical Consultants, PLLC CurrentSince Jun 1, 2017 Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Holston Medical Group PC CurrentSince Jul 9, 2018 Accepting new patients

Locations

320 Bristol West Blvd
Ste 2C
Bristol, TN 37620
Phone (423) 844-1399

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

1 Sheridan Sq
Ste 105
Kingsport, TN 37660
Phone (423) 247-4201

105 W Stone Dr
Ste 2B
Kingsport, TN 37660
Phone (423) 247-7500

105 W Stone Dr
Ste 5D
Kingsport, TN 37660
Phone (423) 247-7500

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 310
Kingsport, TN 37660
Phone (423) 398-7020

132 W Sevier Ave
Ste 1
Kingsport, TN 37660
Phone (423) 224-3110

1930 Alcoa Hwy
Ste 435
Knoxville, TN 37920
Phone (865) 263-2400

1930 Alcoa Hwy
Ste A435
Knoxville, TN 37920
Phone (865) 263-2400

Dept 888198
Knoxville, TN 37995

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

Interoperability endpoints

  • Direct secure messaging: taraspurling@hmgpath.allscriptsdirect.net

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, 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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1184823528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W STONE DR STE 2B",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603365",
            "telephone_number": "423-247-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TARA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SPURLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.