Active NPI
Tara J. Robinson, PA-C
- Medical Physician Assistant
- Charleston, WV
National Provider Identifier
1508167867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1077
- Practice address
- 108 Washington St W Ste 101
Charleston, WV 25302-2344 - Phone
- (304) 345-4525
- Fax
- (304) 345-4527
- NPI assigned
- Nov 3, 2010
- Last updated
- Feb 8, 2024
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1077 | WV | Primary |
| Procedural Dermatology Physician | 207NS0135X | 1077 | WV |
Addresses
Primary practice location
108 Washington St W Ste 101
Charleston, WV 25302-2344
Mailing address
108 Washington St W Ste 101
Charleston, WV 25302-2344
Phone (304) 345-4525
Other names 1
- Tara J Chestnut
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Washington St W
Charleston, WV 25302-2344
Phone (304) 345-4525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Clinic, Inc. | Current | Accepting new patients | |
| Mountain Anesthesia, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Charleston, WV
- NPI 1063659134
-
- Procedural Dermatology Physician
- Barboursville, WV
- NPI 1154411908
-
- Internal Medicine Physician
- White Sulphur Springs, WV
- NPI 1043258783
-
- Certified Registered Nurse Anesthetist
- Lewisburg, WV
- NPI 1073814513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1508167867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WASHINGTON ST W STE 101",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022344",
"telephone_number": "304-345-4525",
"fax_number": "304-345-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WASHINGTON ST W STE 101",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022344",
"telephone_number": "304-345-4525",
"fax_number": "304-345-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TARA",
"middle_name": "J.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "1077",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "WV",
"license": "1077",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "CHESTNUT",
"middle_name": "J",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.