Individual provider Active NPI

Tara Gene O'Connor, FNP

  • Family Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1265692776
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP5752 Issued in CO
Practice address
799 E Hampden Ave Ste 300
Englewood, CO 80113-2762
Phone
(303) 788-6490
Fax
(303) 788-5451
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN-163779 CO
Family Nurse Practitioner 363LF0000X NP5752 CO Primary

Addresses

Primary practice location

799 E Hampden Ave Ste 300
Englewood, CO 80113-2762

Mailing address

4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 788-8355

Other identifiers 1

IdentifierTypeStateIssuer
23109777MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TARA.OCONNOR@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120130000915 CO Practitioner - Nurse Practitioner 4587821772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 563-2784

799 E Hampden Ave
Suite 300
Englewood, CO 80113-2762
Phone (303) 788-6790

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-163779COMDGeneral Practice Registered Nurse
NP5752COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Primary Care LLC CurrentSince Sep 1, 2016 Accepting new patients
House Call Connections, LLC Family PastSince Feb 5, 2012 Accepting new patients

Locations

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

4900 S Monaco St
Ste 210
Denver, CO 80237

799 E Hampden Ave
Ste 300
Englewood, CO 80113
Phone (303) 493-5200

Interoperability endpoints

  • Direct secure messaging: tara.oconnor@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1265692776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "303-788-8355",
            "fax_number": "303-788-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132762",
            "telephone_number": "303-788-6490",
            "fax_number": "303-788-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TARA",
        "middle_name": "GENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "RN-163779",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP5752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23109777",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TARA.OCONNOR@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "799 E Hampden Ave Ste 300",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.