Tarra O Midgette, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02200292 Issued in NC

Practice address

101 Woodhill CT
Kitty Hawk, NC 27949-9228

Phone

(252) 202-4806

NPI assigned

Mar 10, 2020

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surf Pediatrics and Medicine PCGroup PAC ID 8527207927, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

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.

• Surf Pediatrics and Medicine PC

  • Pediatrics Physician
  • Kitty Hawk, NC
  • NPI 1609058056

  NC

  Medicare reassignment Care Compare group NPD
• Arizona Pulmonary Specialists LTD

  • Pulmonary Disease Physician
  • Scottsdale, AZ
  • NPI 1215986468
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1568097418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODHILL CT",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279499228",
            "telephone_number": "252-202-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODHILL CT",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279499228",
            "telephone_number": "252-202-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDGETTE",
        "first_name": "TARRA",
        "middle_name": "O",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F02200292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KittyHawk",
            "affiliation": "N",
            "address_1": "101 Woodhill Ct",
            "city": "Kitty Hawk",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279499228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KittyHawk",
            "affiliation": "N",
            "address_1": "101 Woodhill Ct",
            "city": "Kitty Hawk",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279499228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KittyHawk",
            "affiliation": "N",
            "address_1": "101 Woodhill Ct",
            "city": "Kitty Hawk",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279499228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KittyHawk",
            "affiliation": "N",
            "address_1": "101 Woodhill Ct",
            "city": "Kitty Hawk",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279499228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Marples, PHARMD
• Elizabeth Laura Marshall, DDS
• Thomas Francis McGrady, PHARM.D
• Patrick Charles McNeil, PA-C
• Michael R. Zaritsky, DDS, PLLC
• Adam Miller
• Cheryl Ann Miller
• Michael B. Morgan, D.D.S.
• Jaclyn Grace Mounie, PT
• Edna Rothman Mullally, DNP, FNP-C

• All providers in Kitty Hawk, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.