Tara C. Brouse, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5024790 Issued in NC

Practice address

1340 Walter Reed Rd Ste 202
Fayetteville, NC 28304-4451

Phone

(910) 504-3506

Fax

(910) 504-3507

NPI assigned

Apr 20, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD

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.

• Pinehurst Womens Clinic PA

  • Obstetrics & Gynecology Physician
  • Pinehurst, NC
  • NPI 1427106186
  NPD (past)
• Recon Neurology & Psychiatry

  • Neurology Physician
  • Fayetteville, NC
  • NPI 1427769140
  NPD (past)

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1518802420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WALNUT KNOLL LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183113",
            "telephone_number": "901-756-5565",
            "fax_number": "901-756-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WALTER REED RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044451",
            "telephone_number": "910-504-3506",
            "fax_number": "910-504-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748707",
            "country_code": "US",
            "telephone_number": "910-348-1192",
            "fax_number": "910-348-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSE",
        "first_name": "TARA",
        "middle_name": "C.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5024790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brothers Helping Hands of NC
• Brothers Helping Hands of NC Inc
• Kezlyn Ann-Marie Brothers, BT
• Gabriel Joseph Brotzman, DO
• Meredith Leigh Broughton, MA/CCC-SLP
• Bradley James Broussard, M.D.
• Nicholas Ryan Broussard, DDS
• Brown Therapeutic Solutions & Counseling, PLLC
• Patrice Renee Brown-Parker, FNP
• Regina V Brown-Thompson

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.