Individual provider Active NPI

Tabitha Tarter, APRN

  • Family Nurse Practitioner
  • Piqua, OH
National Provider Identifier
1508694118
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.408146 Issued in OH
Practice address
280 Looney Rd
Piqua, OH 45356-4199
Phone
(937) 778-1650
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 RN.408146 OH Primary

Addresses

Primary practice location

280 Looney Rd
Piqua, OH 45356-4199

Mailing address

280 Looney Rd
Piqua, OH 45356-4199
Phone (937) 778-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241028003632 OH Practitioner - Nurse Practitioner 4880127976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

Practice addresses (Care Compare)

280 Looney Rd
Suite 101
Piqua, OH 45356-4199
Phone (937) 778-1650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.408146OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Family Medicine CurrentSince Sep 23, 2024 Accepting new patients

Locations

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

280 Looney Rd
Ste 101
Piqua, OH 45356
Phone (937) 440-8687

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

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.

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1508694118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-778-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-778-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTER",
        "first_name": "TABITHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.408146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.