Individual provider Active NPI

Tara A Powers, CRNA

  • Certified Registered Nurse Anesthetist
  • Randallstown, MD
National Provider Identifier
1629312608
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R218521 Issued in MD
Practice address
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone
(410) 521-2200
NPI assigned
Nov 15, 2012
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
214468900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007000339 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163667924 Reassigns benefits to 7 organizations

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
Lifebridge Anesthesia Associates LLCGroup PAC ID 2062514888, 109 clinicians
Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians

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

LicenseStateTypeSpecialty
0413744148ILMDRegistered Nurse
R218521MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Chesapeake Digestive Associates, PC CurrentSince Jun 1, 2022 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Oct 1, 2015 Accepting new patients
Maryland Expresscare LLC CurrentSince Mar 26, 2019 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Jul 1, 2022 Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2019 Accepting new patients
University of Maryland Anesthesiology Associates, P.a. CurrentSince Nov 8, 2016 Accepting new patients
The Maryland Center for Digestive Health LLC CurrentSince Mar 2, 2020 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

  • Direct secure messaging: 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.

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": "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.

Verify at the official NPI Registry.