Active NPI
Tara Marie Wingard, PA
- Physician Assistant
- Palm Beach Gardens, FL
National Provider Identifier
1457073066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3360 Burns Rd
Palm Beach Gardens, FL 33410-4323 - Phone
- (561) 622-1411
- NPI assigned
- Sep 12, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Mailing address
8 Palm Rd
Stuart, FL 34996-6305
Phone (561) 512-7597
Other practice location 1
5028 Okeechobee Blvd
West Palm Beach, FL 33417-4534
Phone (561) 578-6700
Other practice location 2
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 655-5511
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1457073066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PALM RD",
"city": "STUART",
"state": "FL",
"postal_code": "349966305",
"telephone_number": "561-512-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 BURNS RD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104323",
"telephone_number": "561-622-1411"
}
],
"practiceLocations": [
{
"address_1": "5028 Okeechobee Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334174534",
"country_code": "US",
"telephone_number": "561-578-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1309 N Flagler Dr",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334013406",
"country_code": "US",
"telephone_number": "561-655-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINGARD",
"first_name": "TARA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.