Individual provider Active NPI

Destiny Dawn Tarver, CNM

  • Advanced Practice Midwife
  • Carlisle, PA
National Provider Identifier
1598426322
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010669 Issued in PA
Practice address
1 Dunwoody Dr
Carlisle, PA 17015-9565
Phone
(717) 218-1820
Fax
(717) 706-6735
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 666588 PA
Advanced Practice Midwife 367A00000X MW010669 PA Primary

Addresses

Primary practice location

1 Dunwoody Dr
Carlisle, PA 17015-9565

Mailing address

725 N Highlands Dr
Harrisburg, PA 17111-6914

Other names 1

  • Destiny Dawn Maples Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtarver218616@phsdirect.pinnaclehealth.org Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328000926 PA Practitioner - Certified Nurse Midwife (CNM) 2365837408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
666588PAMDMaternal Newborn Registered Nurse
MW010669PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2022 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

225 Grandview Ave
Ste 302
Camp Hill, PA 17011
Phone (717) 988-9015

1 Dunwoody Dr
Carlisle, PA 17015
Phone (717) 249-6112

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: dtarver305356@upmc.direct-ci.com

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1598426322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N HIGHLANDS DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159565",
            "telephone_number": "717-218-1820",
            "fax_number": "717-706-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "DESTINY",
        "middle_name": "DAWN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "PA",
            "license": "666588",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtarver218616@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Dunwoody Dr",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170159565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "MAPLES",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.