Tara Lynette Flanagan, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

104544879 Issued in IN

Practice address

2629 Waterfront Parkway East Dr Ste 375
Indianapolis, IN 46214-2026

Phone

(317) 885-4200

Fax

(317) 602-1611

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1265077572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051933",
            "telephone_number": "317-258-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 WATERFRONT PARKWAY EAST DR STE 375",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142026",
            "telephone_number": "317-885-4200",
            "fax_number": "317-602-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "TARA",
        "middle_name": "LYNETTE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "104544879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Flack
• Tina Marie Flack, LCSW
• Flagstone Psychology, P.C.
• Denise A Flanagan, DDS
• Dennis Flanagan, RPH
• Mark D Flanders, PA
• Samuel J Flanders, M.D.
• Vincent J. Flanders, MD
• Flanner House Elementary School
• Flanner House of Indianapolis, Inc.

• Women's Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.