Active NPI
Tara A Powers, CRNA
- Certified Registered Nurse Anesthetist
- Randallstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R218521
- Practice address
- 5401 Old Court Rd
Randallstown, MD 21133-5103 - Phone
- (410) 521-2200
- NPI assigned
- Nov 15, 2012
- Last updated
- Jan 8, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209010041 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | R218521 | MD | Primary |
| Registered Nurse | 163W00000X | 0413744148 | IL |
Addresses
Primary practice location
5401 Old Court Rd
Randallstown, MD 21133-5103
Mailing address
11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax, VA 22033-3309
Phone (571) 777-5157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214468900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone 80051653155104
621 Ridgely Ave
Suite 101
Annapolis, MD 21401-1087
Phone (410) 224-3636
827 Linden Ave
Baltimore, MD 21201-4606
Phone (667) 214-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0413744148 | IL | MD | Registered Nurse |
| R218521 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Chesapeake Digestive Associates, PC | Current | Accepting new patients | |
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Maryland Expresscare LLC | Current | Accepting new patients | |
| Digestive Disease Associates, LLC | Current | Accepting new patients | |
| University of Maryland Medical System Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Maryland Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| The Maryland Center for Digestive Health LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Virginia), LLC | Past | Accepting new patients | |
| American Anesthesiology Associates of Illinois, S.C. | Past | Accepting new patients |
Locations
621 Ridgely Ave
Ste 101
Annapolis, MD 21401
Phone (410) 224-3636
621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887
820 Bestgate Rd
Ste 1A
Annapolis, MD 21401
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
2401 W Belvedere Ave
Baltimore, MD 21215
611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
700 Geipe Rd
Ste 230
Catonsville, MD 21228
10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415
Interoperability endpoints
- tmcmanus472994@direct.umm.edu
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Baltimore, MD
- NPI 1407400955
-
- Anesthesiology Physician
- Randallstown, MD
- NPI 1003992868
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Gastroenterology Physician
- Annapolis, MD
- NPI 1023765625
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1508807355
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1952333882
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1629312608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "SUITE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5157",
"fax_number": "703-890-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 OLD COURT RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211335103",
"telephone_number": "410-521-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "TARA",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209010041",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R218521",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "0413744148",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214468900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.