Individual provider Active NPI

Tara Deon Plume Levy, APRN, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Bend, OR
National Provider Identifier
1316251291
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
202000107CNS-PP Issued in OR
Practice address
595 SW Bluff Drive
Suite a
Bend, OR 97702
Phone
(971) 533-8732
Fax
(541) 728-2063
NPI assigned
Aug 3, 2010
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP114123 TX
Adult Health Clinical Nurse Specialist 364SA2200X 202000107CNS-PP OR Primary

Addresses

Primary practice location

595 SW Bluff Drive
Suite a
Bend, OR 97702

Mailing address

363 High Street
Eugene, OR 97401
Phone (512) 584-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20211214001748 OR Practitioner - Certified Clinical Nurse Specialist (CNS) 6204020381 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes Rheumatology, LLC CurrentSince Oct 27, 2021 Accepting new patients
Monarch Medical Group LLC Past Accepting new patients

Locations

2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220

695 NW York Dr
Ste 110
Bend, OR 97703
Phone (541) 388-3978

15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1316251291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 HIGH STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "512-584-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SW BLUFF DRIVE",
            "address_2": "SUITE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "971-533-8732",
            "fax_number": "541-728-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "TARA",
        "middle_name": "DEON PLUME",
        "credential": "APRN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP114123",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OR",
            "license": "202000107CNS-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.