Individual provider Active NPI

Tamara K. Connor, CRNP-FNP-C

  • Family Nurse Practitioner
  • Glenmoore, PA
National Provider Identifier
1245776376
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012371 Issued in DE
Practice address
33 Meadow Creek LN
Glenmoore, PA 19343-2017
Phone
(610) 368-7430
Fax
(814) 723-2483
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0071757 DE
Family Nurse Practitioner 363LF0000X SP016924 PA
Family Nurse Practitioner 363LF0000X R137407 MD
Family Nurse Practitioner 363LF0000X SP016424 PA
Family Nurse Practitioner 363LF0000X LG-0012371 DE Primary

Addresses

Primary practice location

33 Meadow Creek LN
Glenmoore, PA 19343-2017

Mailing address

33 Meadow Creek LN
Glenmoore, PA 19343-2017
Phone (610) 368-7430

Other practice location 1

1885 Market St
Warren, PA 16365-1277
Phone (814) 546-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170313000855 PA Practitioner - Nurse Practitioner 7517241581 Reassigns benefits to 3 organizations
I20230909000193 MD Practitioner - Nurse Practitioner 7517241581 Reassigns benefits to 1 organization
I20230911002002 DE Practitioner - Nurse Practitioner 7517241581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
A-Z Urgent Care LLCGroup PAC ID 3779812821, 3 clinicians

Practice addresses (Care Compare)

45 S Pine St
Elverson, PA 19520-9720
Phone (610) 901-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0071757DEMDRegistered Nurse
SP016424PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners CurrentSince Jul 1, 2023 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Dec 4, 2023 Accepting new patients
Joel S. Goldberg PastSince Aug 24, 2022 Accepting new patients
A-Z Urgent Care LLC Past Accepting new patients
Thomas Jefferson University Hospital PastSince Jul 13, 2025 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

510 E Gay St
West Chester, PA 19380
Phone (302) 235-8808

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1245776376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MEADOW CREEK LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193432017",
            "telephone_number": "610-368-7430",
            "fax_number": "814-723-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MEADOW CREEK LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193432017",
            "telephone_number": "610-368-7430",
            "fax_number": "814-723-2483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1885 Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163651277",
            "country_code": "US",
            "telephone_number": "814-546-5433",
            "fax_number": "814-723-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "TAMARA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0071757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R137407",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016424",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmoore, PA

Sources for this page

Verify at the official NPI Registry.