Individual provider Active NPI

Tara Harris, APRN FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669183935
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
861326 Issued in NV
Practice address
517 Rose St
Las Vegas, NV 89106-4020
Phone
(702) 438-4692
Fax
(702) 485-2372
NPI assigned
Dec 7, 2022
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 861326 NV Primary

Addresses

Primary practice location

517 Rose St
Las Vegas, NV 89106-4020

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other practice location 1

6250 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 438-4692

Other practice location 2

3930 W Ann Rd
North Las Vegas, NV 89031-3841
Phone (702) 438-4692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230206000923 NV Practitioner - Nurse Practitioner 5496127268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

517 Rose St
Las Vegas, NV 89106-4020
Phone (702) 438-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
861326NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Associates of Southern Nevada- Martin, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Women's Health Associates of Southern Nevada- Martin, PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

517 Rose St
Las Vegas, NV 89106
Phone (702) 366-1206

6250 N Durango Dr
Las Vegas, NV 89149
Phone (702) 342-9990

8850 W Sunset Rd
#110
Las Vegas, NV 89148
Phone (702) 342-9679

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

3930 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 438-4692

Organizations & group practices 2

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1669183935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ROSE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064020",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6250 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 W Ann Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890313841",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TARA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "861326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.