Individual provider Active NPI

Tara M Harmonosky, CRNP

  • Family Nurse Practitioner
  • Hazleton, PA
National Provider Identifier
1588086763
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013250 Issued in PA
Practice address
1000 Stacie Dr
Hazleton, PA 18201-5690
Phone
(570) 417-8660
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013250 PA Primary

Addresses

Primary practice location

1000 Stacie Dr
Hazleton, PA 18201-5690

Mailing address

15 Chestnut St
Mountain Top, PA 18707-1025
Phone (570) 855-2972

Other practice location 1

100 W Sproul Rd Ste 221
Springfield, PA 19064-2033
Phone (570) 417-8660

Other practice location 2

11780 US Highway 1 Ste N107
North Palm Beach, FL 33408-3007
Phone (570) 417-8660

Other identifiers 1

IdentifierTypeStateIssuer
1588086763OtherPANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140509001275 PA Practitioner - Nurse Practitioner 3577796952 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Renal Consultants of Wyoming Valley PC CurrentSince Sep 30, 2017 Accepting new patients
Northeast Gastroenterology Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Northeast Gastroenterology Center, Inc. Current Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

1620 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-8896

1620 Highway 315 Blvd
Ste 1
Wilkes Barre, PA 18702
Phone (570) 237-5444

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1588086763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHESTNUT ST",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071025",
            "telephone_number": "570-855-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STACIE DR",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015690",
            "telephone_number": "570-417-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Sproul Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642033",
            "country_code": "US",
            "telephone_number": "570-417-8660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11780 US Highway 1 Ste N107",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334083007",
            "country_code": "US",
            "telephone_number": "570-417-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMONOSKY",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588086763",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.