Individual provider Active NPI

Tara Lynne Parker, R.N,B.S.N, APN, NP-C

  • Adult Health Nurse Practitioner
  • McGuire Afb, NJ
National Provider Identifier
1609145671
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00359200 Issued in NJ
Practice address
3458 Neely Rd
McGuire Afb, NJ 08641-5312
Phone
(866) 377-2778
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ernit Lifestyle, LLC 5 clinicians

Practice addresses (Care Compare)

544 Mt Hope Rd
Abendhealth
Rockaway, NJ 07866-9998
Phone (973) 532-2095

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260128000918 NJ Practitioner - Nurse Practitioner 5698253094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO11482300NJMDFlight Registered Nurse
APRN11013191FLMDAdult Health Nurse Practitioner
26NJ00359200NJMDAdult Health Nurse Practitioner
F310241NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ernit Lifestyle LLC CurrentSince Dec 10, 2025 Accepting new patients

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11013191 FL
Adult Health Nurse Practitioner 363LA2200X 26NJ00359200 NJ Primary
Adult Health Nurse Practitioner 363LA2200X F310241 NY
Flight Registered Nurse 163WF0300X 26NO11482300 NJ

Addresses

Primary practice location

3458 Neely Rd
McGuire Afb, NJ 08641-5312

Mailing address

3458 Neely Rd
MC Guire Afb, NJ 08641-5312
Phone (866) 377-2778

Other names 1

  • Tara Lynne Parker Professional name

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1609145671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 NEELY RD",
            "city": "MC GUIRE AFB",
            "state": "NJ",
            "postal_code": "086415312",
            "telephone_number": "866-377-2778",
            "fax_number": "609-754-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 NEELY RD",
            "city": "MCGUIRE AFB",
            "state": "NJ",
            "postal_code": "086415312",
            "telephone_number": "866-377-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TARA",
        "middle_name": "LYNNE",
        "credential": "R.N,B.S.N, APN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11013191",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00359200",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310241",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "NJ",
            "license": "26NO11482300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PARKER",
            "middle_name": "LYNNE",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McGuire Afb, NJ

Sources for this page

Verify at the official NPI Registry.