Individual provider Active NPI

Tarasue C Maness, ARNP

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1386191500
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57594 Issued in ID
Practice address
1729 NW Saint Lucie West Blvd # 1141
Port Saint Lucie, FL 34986-2501
Phone
(561) 802-8251
NPI assigned
Sep 6, 2016
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57594 ID Primary
Family Nurse Practitioner 363LF0000X AP60700086 WA

Addresses

Primary practice location

1729 NW Saint Lucie West Blvd # 1141
Port Saint Lucie, FL 34986-2501

Mailing address

1729 NW Saint Lucie West Blvd # 1141
Port Saint Lucie, FL 34986-2501

Other names 1

  • Tarasue C Meikle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220110000417 FL Practitioner - Nurse Practitioner 5799067328 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57594IDMDFamily Nurse Practitioner
AP60700086WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Doc LLC CurrentSince Feb 14, 2024 Accepting new patients
Fast Lab Technologies LLC PastSince Dec 1, 2024 Accepting new patients
Pinnicale Pain Center PastSince Apr 3, 2017 Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404

Organizations & group practices 4

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1386191500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 NW SAINT LUCIE WEST BLVD # 1141",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862501",
            "fax_number": "561-802-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 NW SAINT LUCIE WEST BLVD # 1141",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862501",
            "telephone_number": "561-802-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESS",
        "first_name": "TARASUE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "57594",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60700086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARASUE",
            "last_name": "MEIKLE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.