Individual provider Active NPI

Tara Amor, FNP-C

  • Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1356709273
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA-18850-NP Issued in OH
Practice address
12440 Brook Forest CT
Pickerington, OH 43147-7797
Phone
(614) 596-7254
NPI assigned
Feb 6, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA-18850-NP OH Primary

Addresses

Primary practice location

12440 Brook Forest CT
Pickerington, OH 43147-7797

Mailing address

12440 Brook Forest CT
Pickerington, OH 43147-7797
Phone (614) 596-7254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA-18850-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc CurrentSince Mar 21, 2016 Accepting new patients
Mount Carmel Healthproviders Inc CurrentSince Mar 21, 2016 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

641 Hill Rd N
Ste A
Pickerington, OH 43147
Phone (614) 627-1380

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": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1356709273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 BROOK FOREST CT",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477797",
            "telephone_number": "614-596-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 BROOK FOREST CT",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477797",
            "telephone_number": "614-596-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOR",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA-18850-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.