Individual provider Active NPI

Tara Dawn Masters, CFNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1457427577
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APN0000006681 Issued in TN
Practice address
100 W 3Rd St
Cookeville, TN 38501-2495
Phone
(931) 528-9047
Fax
(931) 372-0045
NPI assigned
Nov 28, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APN0000006681 TN Primary
Registered Nurse 163W00000X RN0000092120 TN

Addresses

Primary practice location

100 W 3Rd St
Cookeville, TN 38501-2495

Mailing address

100 W 3Rd St
Cookeville, TN 38501-2495
Phone (931) 528-9047

Other identifiers 1

IdentifierTypeStateIssuer
3347201MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070626000430 TN Practitioner - Nurse Practitioner 4082713466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bert E Geer DO PCGroup PAC ID 3173626165, 6 clinicians

Practice addresses (Care Compare)

100 W 3Rd St
Cookeville, TN 38501-2495
Phone (931) 528-9047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000092120TNMDRegistered Nurse
6681TNMDSpeech-Language Pathologist
APN0000006681TNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bert E Geer DO PC CurrentSince Dec 21, 2006 Accepting new patients
Medical Observation Services LLC Past Accepting new patients
Volunteer Medical Group, P.C. Past Accepting new patients

Locations

100 W 3rd St
Cookeville, TN 38501
Phone (931) 528-7527

Interoperability endpoints

  • Direct secure messaging: tara.masters.1@3302.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1457427577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012495",
            "telephone_number": "931-528-9047",
            "fax_number": "931-372-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012495",
            "telephone_number": "931-528-9047",
            "fax_number": "931-372-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "TARA",
        "middle_name": "DAWN",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "APN0000006681",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000092120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347201",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.