Tara Marie Cavell, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

268594 Issued in AZ

Practice address

585 W College Ave
Santa Rosa, CA 95401-5000

Phone

(707) 526-3500

NPI assigned

Mar 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tara Marie Reberger Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ognomy Sleep Associates de LLCGroup PAC ID 9931565181, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ognomy Sleep Associates de, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Denver, CO
  • NPI 1467151449

  IN

  Medicare reassignment Care Compare group NPD
• Ognomy Sleep Associates Ca

  • Sleep Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1881390318
  Medicare reassignment NPD
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Mesa, AZ
  • NPI 1700844610
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1538552864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30388",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852750388",
            "telephone_number": "480-830-3900",
            "fax_number": "480-830-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W COLLEGE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015000",
            "telephone_number": "707-526-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVELL",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "268594",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005556A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmorrison1647960@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "585 W College Ave Ste A",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954015060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmorrison1647960@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1476 Professional Dr Ste 504",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949541500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "REBERGER",
            "middle_name": "MARIE",
            "credential": "TARA MARIE MORRISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcello Antonio Cattaneo
• Amber Nicole Caudle
• Daniel E. Caul, LMFT
• Justin Cauntay, D.O.
• Stephanie Cavallo
• Emmett T Caven, RASI
• Mirabel Hladky Cayco-Tangco, DDS
• Andrea Cazares Calderon
• Francesca Julia Cecchini, PMHNP-BC
• Eric Michael Cecil, MHRS

• Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.

Verify at the official NPI Registry.