Active NPI
Tara Lynne Parker, R.N,B.S.N, APN, NP-C
- Adult Health Nurse Practitioner
- McGuire Afb, NJ
National Provider Identifier
1609145671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00359200
- 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.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
Hospital
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
Practice addresses (Care Compare)
544 Mt Hope Rd
Abendhealth
Rockaway, NJ 07866-9998
Phone (973) 532-2095
Hospital & facility affiliations
- Morristown Medical Center
- Saint Clare'S Hospital/ Denville Campus
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO11482300 | NJ | MD | Flight Registered Nurse |
| APRN11013191 | FL | MD | Adult Health Nurse Practitioner |
| 26NJ00359200 | NJ | MD | Adult Health Nurse Practitioner |
| F310241 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernit Lifestyle LLC | Current | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.