Tara L Gonsalves, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

232268 Issued in MA

Practice address

1 Del Pond Dr
Canton, MA 02021-2759

Phone

(781) 821-3210

NPI assigned

Jun 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
• Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
• Hebrew Rehabilitation Center Long-term care hospital, Boston, MA, CCN 222007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hebrew Rehabilitation Center

  dba Hebrew Rehab Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967
  Medicare reassignment Care Compare group NPD
• Hebrew Rehabilitation Center

  dba Hebrew Rehab-Recup Services Unit

  • Skilled Nursing Facility
  • Roslindale, MA
  • NPI 1013012319
  NPD

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

• Beth Israel Deaconess Hospital Milton Inc

  • General Acute Care Hospital
  • Milton, MA
  • NPI 1174618953
  Care Compare affiliation
• Hebrew Rehabilitation Center

  dba Hebrew Rehab Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967

  Long-term care hospital

  Care Compare affiliation
• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326083551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PARSONS WALK",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027791628",
            "telephone_number": "508-822-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEL POND DR",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212759",
            "telephone_number": "781-821-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "232268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Myles Golden, O.D.
• Samantha Ruth Goldfrad, MSW, LCSW, LICSW
• Marci L Goldowsky, CCC-SLP
• Barbara Lee Goldstein, MD
• Darius Isaiah Gomes
• Adina Goodman, PSYD
• Samuel R Gorelik
• Allyson L Gormley, MSW, LICSW
• Diane F Gosselin, RN MS CS
• Graceful Adult Day Health Program Inc

• Family Nurse Practitioner in Canton, MA
• Providers in Canton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.