Individual provider Active NPI

Tara M Snow, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Boulder, CO
National Provider Identifier
1609985233
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
DR.0042562 Issued in CO
Practice address
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone
(303) 415-7610
Fax
(303) 415-7618
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 42562 CO
Hospitalist Physician 208M00000X A99406 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X DR.0042562 CO Primary

Addresses

Primary practice location

4747 Arapahoe Ave
Boulder, CO 80303-1131

Mailing address

2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone (303) 449-7740

Other practice location 1

2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone (303) 449-7740

Other identifiers 1

IdentifierTypeStateIssuer
27270246MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TARA.SNOW@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000222 CO Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9436101284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
University of Wisconsin School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Medical Specialties LLCGroup PAC ID 1850480807, 20 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 869-2278

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
99406CAMDMarriage & Family Therapist
A99406CAMDHospitalist Physician
42562COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Medical Specialties LLC CurrentSince Apr 15, 2021 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

777 Bannock St
Denver, CO 80204

4600 Hale Pkwy
Ste 490
Denver, CO 80220
Phone (303) 329-7876

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1609985233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 TRAILRIDGE DR E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263186",
            "telephone_number": "303-449-7740",
            "fax_number": "303-604-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031131",
            "telephone_number": "303-415-7610",
            "fax_number": "303-415-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2594 Trailridge Dr E",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263186",
            "country_code": "US",
            "telephone_number": "303-449-7740",
            "fax_number": "303-604-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "42562",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A99406",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR.0042562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27270246",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TARA.SNOW@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2594 Trailridge Dr E",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800263186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.