Individual provider Active NPI

Tara Marie Knight, FNP

  • Family Nurse Practitioner
  • Jasper, IN
National Provider Identifier
1275837437
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003505A Issued in IN
Practice address
613 Dorbett St
Jasper, IN 47546-2615
Phone
(812) 481-2229
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003505A IN Primary

Addresses

Primary practice location

613 Dorbett St
Jasper, IN 47546-2615

Mailing address

613 Dorbett St
Jasper, IN 47546-2615
Phone (812) 481-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110221000497 IN Practitioner - Nurse Practitioner 3678754926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Obstetrics and Gynecology IncGroup PAC ID 5395895288, 8 clinicians

Practice addresses (Care Compare)

613 Dorbett St
Jasper, IN 47546-2615
Phone (812) 481-2229

Hospital & facility affiliations

  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003505AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Obstetrics and Gynecology Inc CurrentSince Jun 8, 2011 Accepting new patients
Southern Indiana Endocrine PC Past Accepting new patients

Locations

613 Dorbett St
Jasper, IN 47546
Phone (812) 481-2229

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 3

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1275837437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-481-2229",
            "fax_number": "812-482-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-481-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.