Active NPI
Tara Nicole Demand, RN
- Registered Nurse
- O'Fallon, MO
National Provider Identifier
1235091653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2007009488
- Practice address
- 520 Greengage Timber Dr
O Fallon, MO 63368-6573 - Phone
- (314) 907-4446
- NPI assigned
- Nov 25, 2025
- Last updated
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2007009488 | MO | Primary |
Addresses
Primary practice location
520 Greengage Timber Dr
O Fallon, MO 63368-6573
Mailing address
520 Greengage Timber Dr
O Fallon, MO 63368-6573
Phone (314) 907-4446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007009488 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1235091653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 GREENGAGE TIMBER DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686573",
"telephone_number": "314-907-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 GREENGAGE TIMBER DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686573",
"telephone_number": "314-907-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAND",
"first_name": "TARA",
"middle_name": "NICOLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2007009488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, MO
- DDK, LLC
- Michael Jason Dean, RN ANP
- David Christopher Declue, D.C.
- Ryan Degeeter, PT
- Delmar Gardens of O'Fallon, LLC (Delmar Gardens of O'Fallon)
- Alexander Dematteis IV, ED.D.
- Curtis Edmund Denham, LPC
- Dennis Senderovich D.D.S., P.C. (O'Fallon Dental Care)
- Dental Safari Co Missouri, PC
- Scott Deppong, M.ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.