Active NPI
Tara Leigh Brannen, APRN
- Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9218740
- Practice address
- 139 Centre St PH 120
New York, NY 10013-4559 - Phone
- (888) 731-8994
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9218740 | FL | |
| Nurse Practitioner | 363L00000X | 9218740 | FL | Primary |
Addresses
Primary practice location
139 Centre St PH 120
New York, NY 10013-4559
Mailing address
445 S Figueroa St FL 31
Los Angeles, CA 90071-1602
Phone (888) 731-8994
Other practice location 1
222 second ave
17th floor
nashville, TN 37201
Phone (888) 731-8994
Other practice location 2
429 4th Ave Fl 7
Pittsburgh, PA 15219-1500
Phone (888) 731-8994
Other practice location 3
112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994
Other practice location 4
1101 Wilson Blvd Fl 6
Arlington, VA 22209-2281
Phone (888) 731-8994
Other practice location 5
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994
Other practice location 6
201 north Illinois street
16th floor south tower
Indianapolis, IN 46204
Phone (888) 731-8994
Other practice location 7
173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994
Other practice location 8
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003821900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9218740 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilbert Zeballos PA | Past | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- tara.brannen.1@27069.direct.athenahealth.com
- tara.brannen@237407481626628.direct.elationemr.com
Organizations & group practices 3
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.
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1629413125
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1386962140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 S FIGUEROA ST FL 31",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900711602",
"telephone_number": "888-731-8994",
"fax_number": "833-775-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST PH 120",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134559",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "222 second ave",
"address_2": "17th floor",
"address_purpose": "LOCATION",
"city": "nashville",
"state": "TN",
"postal_code": "37201",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "429 4th Ave Fl 7",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152191500",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Maverick Ct",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760491381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Wilson Blvd Fl 6",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222092281",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gateway Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071025323",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 north Illinois street",
"address_2": "16th floor south tower",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46204",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "173 Saint Patricks Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206035530",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 N Orange Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328012381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANNEN",
"first_name": "TARA",
"middle_name": "LEIGH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9218740",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9218740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003821900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.