Active NPI
Nergess Tina Taheri, DO
- Family Medicine Physician
- Belle Glade, FL
National Provider Identifier
1477048403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS15981
- Practice address
- 39200 Hooker Hwy
Belle Glade, FL 33430-5368 - Phone
- (561) 996-6571
- NPI assigned
- Jun 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS15981 | FL | Primary |
Addresses
Primary practice location
39200 Hooker Hwy
Belle Glade, FL 33430-5368
Mailing address
1515 N Flagler Dr Ste 101
West Palm Beach, FL 33401-3429
Phone (561) 642-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114519900 | Medicaid | FL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1515 N Flagler Dr
Suite 101
West Palm Beach, FL 33401-3429
9064 NW 13TH Ter
Doral, FL 33172-2907
Hospital & facility affiliations
- Lakeside Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- lmcntaher@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Delray Beach, FL
- NPI 1477890267
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Belle Glade, FL
- NPI 1801885413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1477048403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N FLAGLER DR STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013429",
"telephone_number": "561-642-1000",
"fax_number": "561-804-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39200 HOOKER HWY",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334305368",
"telephone_number": "561-996-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHERI",
"first_name": "NERGESS",
"middle_name": "TINA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS15981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114519900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.