Active NPI
Tara McNally, NP
- Family Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1619104072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9266363
- Practice address
- 3251 N McMullen Booth Rd Ste 303
Clearwater, FL 33761-2022 - Phone
- (727) 725-6110
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9266363 | FL | Primary |
Addresses
Primary practice location
3251 N McMullen Booth Rd Ste 303
Clearwater, FL 33761-2022
Mailing address
3251 N McMullen Booth Rd Ste 303
Clearwater, FL 33761-2022
Phone (727) 725-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP 9266363 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9266363 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowman & Hampsey Medical Clinic, Inc | Current | Accepting new patients | |
| Bowman & Hampsey Mdspa | Past | Accepting new patients |
Locations
3251 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-6110
3251 N McMullen Booth Rd
Ste 303
Clearwater, FL 33761
Phone (727) 725-6110
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
- tara.mcnally.1@967.direct.athenahealth.com
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.
-
- Primary Care Clinic/Center
- Clearwater, FL
- NPI 1205264355
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1215042858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1619104072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 N MCMULLEN BOOTH RD STE 303",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612022",
"telephone_number": "727-725-6110",
"fax_number": "703-503-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 N MCMULLEN BOOTH RD STE 303",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612022",
"telephone_number": "727-725-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "TARA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2021-08-17",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9266363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ARNP 9266363",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.