Active NPI
Jenna E. Tarter
- Family Nurse Practitioner
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012043
- Practice address
- 615 7TH Ave
Bowling Green, KY 42101-6921 - Phone
- (270) 846-4800
- Fax
- (270) 846-4828
- NPI assigned
- Jan 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012043 | KY | Primary |
Addresses
Primary practice location
615 7TH Ave
Bowling Green, KY 42101-6921
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Other practice location 1
1225 Fairway St
Bowling Green, KY 42103-2477
Phone (270) 781-3910
Other practice location 2
615 7th Ave
Bowling Green, KY 42101
Phone (270) 846-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100504240 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
615 7TH Ave
Bowling Green, KY 42101-6921
Phone (270) 846-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012043 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates - Bowling Green LLC | Family | Current | Accepting new patients |
| Norton Children's Medical Group - Bowling Green LLC | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Allergy Care Bowling Green Inc | Past | Accepting new patients |
Locations
615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Interoperability endpoints
- jtarter229878@direct.nortonhealthcare.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Bowling Green, KY
- NPI 1891542718
Family
-
- Pediatrics Physician
- Bowling Green, KY
- NPI 1164279089
Family
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
dba Long Term COVID-19 Care Clinic
- Infectious Disease Physician
- Louisville, KY
- NPI 1437657053
Family
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
dba Norton Children's Critical Care
- Pediatric Critical Care Medicine Physician
- Louisville, KY
- NPI 1386281657
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Allergy & Immunology Physician
- Bowling Green, KY
- NPI 1245371632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1548777014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 7TH AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421016921",
"telephone_number": "270-846-4800",
"fax_number": "270-846-4828"
}
],
"practiceLocations": [
{
"address_1": "1225 Fairway St",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421032477",
"country_code": "US",
"telephone_number": "270-781-3910",
"fax_number": "270-842-7177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 7th Ave",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "42101",
"country_code": "US",
"telephone_number": "270-846-4800",
"fax_number": "270-846-4828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARTER",
"first_name": "JENNA",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2024-01-30",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100504240",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.