Active NPI
Tamara C Cafaro, RN, APN
- Psychiatric/Mental Health Registered Nurse
- Charleston, SC
National Provider Identifier
1629330238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 26NR11590200
- Practice address
- 17 Ashley Ave
Charleston, SC 29401-1804 - Phone
- (732) 822-2650
- NPI assigned
- Jun 10, 2012
- Last updated
- Jan 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258236 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 830556 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
| 22699 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current | Accepting new patients | |
| Charleston Counseling Center PC | Current | 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.
-
dba Lifestance Health
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
-
dba Riverview Medical Center
- Psychiatry Physician
- Red Bank, NJ
- NPI 1760599336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.