Individual provider Active NPI

Tarra Alyssa Owen, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1578246005
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13634 Issued in CT
Practice address
900 Main St S Ste 100
Southbury, CT 06488-4213
Phone
(860) 430-1246
NPI assigned
Aug 10, 2023
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13634 CT Primary
Registered Nurse 163W00000X 161350 CT

Addresses

Primary practice location

900 Main St S Ste 100
Southbury, CT 06488-4213

Mailing address

900 Main St S
Southbury, CT 06488-4237
Phone (203) 262-1911

Other practice location 1

20 York St # 6510
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250307002259 CT Practitioner - Nurse Practitioner 2163943069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
161350CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Medical Associates, LLC Family CurrentSince Mar 1, 2025 Accepting new patients
WRK Ventures, LLC PastSince Dec 22, 2024 Accepting new patients

Locations

900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1578246005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884237",
            "telephone_number": "203-262-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST S STE 100",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884213",
            "telephone_number": "860-430-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St # 6510",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "TARRA",
        "middle_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13634",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "161350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.