Individual provider Active NPI

Tarah Killane Bird, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Horsham, PA
National Provider Identifier
1194587808
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028984 Issued in PA
Practice address
721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Phone
(215) 254-6000
Fax
(215) 754-1705
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP028984 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028984 PA Primary

Addresses

Primary practice location

721 Dresher Rd Ste 1100
Horsham, PA 19044-2216

Mailing address

715 Twining Rd Ste 120
Dresher, PA 19025-1832
Phone (215) 254-6000

Other practice location 1

257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 822-5700

Other practice location 2

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525
Phone (215) 254-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240208002574 PA Practitioner - Nurse Practitioner 7810330602 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 18, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 18, 2024 Accepting new patients
Complete Mind Care Brain Wellness PLLC CurrentSince Feb 23, 2025 Accepting new patients
CMC of PA PC CurrentSince Dec 1, 2024 Accepting new patients
CMC of PA PC PastSince Dec 17, 2023 Accepting new patients
Complete Mind Care of PA, LLC PastSince Dec 1, 2024 Accepting new patients

Locations

1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

715 Twining Rd
Ste 120
Dresher, PA 19025

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

721 Dresher Rd
Ste 1100
Horsham, PA 19044
Phone (215) 254-6000

795 E Lancaster Ave
Ste 210
Villanova, PA 19085
Phone (215) 254-6000

795 E Lancaster Ave
Ste 250
Villanova, PA 19085
Phone (215) 254-6000

Organizations & group practices 7

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1194587808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TWINING RD STE 120",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251832",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 DRESHER RD STE 1100",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442216",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178938",
            "country_code": "US",
            "telephone_number": "484-822-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 E Lancaster Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851525",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLANE BIRD",
        "first_name": "TARAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028984",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.