Individual provider Active NPI

Jennifer L Tarter, FNP-C

  • Family Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1477087500
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174543 Issued in VA
Practice address
1375 W Ridge Rd
Wytheville, VA 24382-5011
Phone
(276) 228-8686
Fax
(276) 228-7933
NPI assigned
Apr 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174543 VA Primary

Addresses

Primary practice location

1375 W Ridge Rd
Wytheville, VA 24382-5011

Mailing address

1375 W Ridge Rd
Wytheville, VA 24382-5011
Phone (276) 228-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtarter96550@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20171207002406 VA Practitioner - Nurse Practitioner 6901163427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Practice addresses (Care Compare)

1375 W Ridge Rd
Wytheville, VA 24382-5011
Phone (276) 228-8686

Hospital & facility affiliations

  • Wythe Circle Home Care Home health agency, Wytheville, VA, CCN 497094
  • Access Home Health Care and Rehabilitation Home health agency, Galax, VA, CCN 497713
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Wythe County Community Hospital Hospital, Wytheville, VA, CCN 490111
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0024174543VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Aug 26, 2019 Accepting new patients
Carilion Medical Center CurrentSince Aug 26, 2019 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 27, 2017 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 27, 2017 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

2900 Tyler Rd
Christiansburg, VA 24073
Phone (540) 731-7311

544 E Stuart Dr
Ste D
Galax, VA 24333
Phone (276) 236-5181

199 Hospital Dr
Ste 7
Galax, VA 24333
Phone (276) 236-5181

416 S Main St
Hillsville, VA 24343
Phone (276) 236-5181

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

1375 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-8686

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: jtarter96550@direct.carilionclinic.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1492214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1477087500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243825011",
            "telephone_number": "276-228-8686",
            "fax_number": "276-228-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243825011",
            "telephone_number": "276-228-8686",
            "fax_number": "276-228-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-15",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtarter96550@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "jtarter96550@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1375 W Ridge Rd",
            "city": "Wytheville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243825011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.