Tara Rae Ashworth, MS, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-09226 Issued in OH

Practice address

2100 Emmanuel Way
Suite B
Springfield, OH 45502-7217

Phone

(937) 398-0020

Fax

(937) 398-0021

NPI assigned

Feb 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tara Atha Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mental Health Services for Clark Co Inc

  • Multi-Specialty Clinic/Center
  • Springfield, OH
  • NPI 1982695706
  Medicare reassignment NPD
• Mental Health Services for Clark Co Inc

  • Multi-Specialty Clinic/Center
  • Springfield, OH
  • NPI 1598022758
  NPD

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1609910132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EMMANUEL WAY",
            "address_2": "STE B",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455027217",
            "telephone_number": "937-398-0020",
            "fax_number": "937-398-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EMMANUEL WAY",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455027217",
            "telephone_number": "937-398-0020",
            "fax_number": "937-398-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 N Yellow Springs St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042463",
            "country_code": "US",
            "telephone_number": "937-399-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "TARA",
        "middle_name": "RAE",
        "credential": "MS, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.09226",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-09226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737953",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN",
            "identifier": "P00385789",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ATHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Muhammad Ashraf, M.D.
• Asi Community Wellness Group
• Jeffrey D Asper, APRN-CNP
• Associated Anesthesiologist of Springfield
• Associated Anesthesiologists of Springfield
• Associated Dermatologists, Inc.

• Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.