Individual provider Active NPI

Tara Draehn, FNP

  • Family Nurse Practitioner
  • Willis, TX
National Provider Identifier
1194315739
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1027209 Issued in TX
Practice address
9851 FM 1097 Rd W Ste 120
Willis, TX 77318-5852
Phone
(936) 890-8000
Fax
(833) 973-0788
NPI assigned
Jan 18, 2021
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 1027209 TX Primary

Addresses

Primary practice location

9851 FM 1097 Rd W Ste 120
Willis, TX 77318-5852

Mailing address

9851 FM 1097 Rd W Ste 120
Willis, TX 77318-5852
Phone (936) 890-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210209001378 TX Practitioner - Nurse Practitioner 4981019726 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkmed PLLC CurrentSince Jul 26, 2021 Accepting new patients

Locations

10020 Research Forest Dr
Ste D
The Woodlands, TX 77354
Phone (281) 896-0013

Interoperability endpoints

  • Direct secure messaging: tara.draehn.1@30698.direct.athenahealth.com

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, 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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1194315739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 FM 1097 RD W STE 120",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185852",
            "telephone_number": "936-890-8000",
            "fax_number": "833-973-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 FM 1097 RD W STE 120",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185852",
            "telephone_number": "936-890-8000",
            "fax_number": "833-973-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEHN",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1027209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

Verify at the official NPI Registry.