Active NPI
Kristen Mara Tait, AGACNP-BC
- Acute Care Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95017307
- Practice address
- 51 N 39TH St
Philadelphia, PA 19104-2640 - Phone
- (215) 662-9000
- NPI assigned
- Sep 24, 2021
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95017307 | CA | Primary |
Addresses
Primary practice location
51 N 39TH St
Philadelphia, PA 19104-2640
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinical Health Care Associates of New Jersey PC
Practice addresses (Care Compare)
1865 Route 70 E 260
Penn Cardiology Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 216-0300
51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189
7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604
906 Bethlehem Pike
Erdenheim, PA 19038-7731
Phone (215) 248-1350
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017307 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients |
Locations
211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800
1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
Interoperability endpoints
- ktait951218@direct.uclahealth.org
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Nurse Practitioner
- Langhorne, PA
- NPI 1538728357
-
- Internal Medicine Physician
- Cherry Hill, NJ
- NPI 1124122387
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1629749056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAIT",
"first_name": "KRISTEN",
"middle_name": "MARA",
"name_prefix": "Ms.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95017307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
- 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.