Individual provider Active NPI

Tara Nimiroski, RN PRACTIONER

  • Acute Care Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1295750867
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
37254 Issued in RI
Practice address
1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Phone
(401) 272-1900
Fax
(401) 453-3049
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 37254 RI Primary
Acute Care Nurse Practitioner 363LA2100X 198513 MA

Addresses

Primary practice location

1524 Atwood Ave Ste 220
Johnston, RI 02919-3278

Mailing address

1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Phone (401) 272-1900

Other identifiers 2

IdentifierTypeStateIssuer
412033OtherB CHIP
29071OtherBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050125000867 RI Practitioner - Nurse Practitioner 0941250203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Atwood Medical Associates LTDGroup PAC ID 0941106652, 24 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 220
Johnston, RI 02919-3288
Phone (401) 272-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198513MAMDAcute Care Nurse Practitioner
37254RIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jul 7, 2021 Accepting new patients
Atwood Medical Associates LTD CurrentSince Dec 12, 2015 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jul 7, 2021 Accepting new patients

Locations

1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

6 Blackstone Valley Pl
Ste 706
Lincoln, RI 02865

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1295750867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 220",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193278",
            "telephone_number": "401-272-1900",
            "fax_number": "401-453-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 220",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193278",
            "telephone_number": "401-272-1900",
            "fax_number": "401-453-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMIROSKI",
        "first_name": "TARA",
        "credential": "RN PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "37254",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "198513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B CHIP",
            "identifier": "412033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "29071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.