Individual provider Active NPI

Taryn Michelle Harrell, FNP-C

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1346858479
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010321A Issued in IN
Practice address
406 N 1St St Ste J
Vincennes, IN 47591-1358
Phone
(812) 882-4694
Fax
(812) 882-0630
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28190733A IN
Family Nurse Practitioner 363LF0000X 71010321A IN Primary

Addresses

Primary practice location

406 N 1St St Ste J
Vincennes, IN 47591-1358

Mailing address

406 N 1St St Ste J
Vincennes, IN 47591-1358
Phone (812) 882-4694

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
I20201012001080 IN Practitioner - Nurse Practitioner 9739509852 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28190733AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc Current Accepting new patients
Good Samaritan Hospital Physician Services, Inc Family CurrentSince Sep 1, 2022 Accepting new patients
Good Samaritan Hospital CurrentSince Sep 1, 2022 Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

406 N 1st St
Ste C
Vincennes, IN 47591
Phone (812) 882-1106

406 N 1st St
Ste A
Vincennes, IN 47591
Phone (812) 885-6840

406 N 1st St
Ste J
Vincennes, IN 47591
Phone (812) 882-4694

1813 Willow St
Vincennes, IN 47591
Phone (812) 882-0894

406 N 1st St
Ste D
Vincennes, IN 47591
Phone (812) 885-0524

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

406 N 1st St
Ste I
Vincennes, IN 47591
Phone (812) 885-0881

700 Willow St
Ste 202
Vincennes, IN 47591
Phone (812) 885-0520

406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: tharrell215642@direct.deaconess.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1346858479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST STE J",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911358",
            "telephone_number": "812-882-4694",
            "fax_number": "812-882-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST STE J",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911358",
            "telephone_number": "812-882-4694",
            "fax_number": "812-882-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "TARYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28190733A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010321A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.