Individual provider Active NPI

Tamara C Cafaro, RN, APN

  • Psychiatric/Mental Health Registered Nurse
  • Charleston, SC
National Provider Identifier
1629330238
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NR11590200 Issued in NJ
Practice address
17 Ashley Ave
Charleston, SC 29401-1804
Phone
(732) 822-2650
NPI assigned
Jun 10, 2012
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 830556 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22699 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 258236 AZ
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NJ00378400 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR11590200 NJ Primary

Addresses

Primary practice location

17 Ashley Ave
Charleston, SC 29401-1804

Mailing address

1 Riverview PLZ
Red Bank, NJ 07701-1864

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220404000036 SC Practitioner - Nurse Practitioner 0547409526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
258236AZMDPsychiatric/Mental Health Nurse Practitioner
830556NVMDPsychiatric/Mental Health Nurse Practitioner
22699SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center CurrentSince Apr 4, 2022 Accepting new patients
Charleston Counseling Center PC CurrentSince Apr 4, 2022 Accepting new patients
Meridian Hospitals Corporation, Inc. Dba Riverview Medical Center Past Accepting new patients

Locations

871 Lowcountry Blvd
Mt Pleasant, SC 29464
Phone (833) 803-1894

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1629330238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011804",
            "telephone_number": "732-822-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFARO",
        "first_name": "TAMARA",
        "middle_name": "C",
        "credential": "RN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "830556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "22699",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "258236",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00378400",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR11590200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.