Tara Elaine Gregory, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

335328-01 Issued in NY

Practice address

363 1St St
Troy, NY 12180-5302

Phone

(502) 689-5509

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1679204473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 1ST ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805302",
            "telephone_number": "502-689-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 1ST ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805302",
            "telephone_number": "502-689-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "TARA",
        "middle_name": "ELAINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "335328-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Green
• Karen D Greene, M.S, ED
• McKenzee Erin Greene, CCC-SLP
• Lindsey Nicole Greenough, FNP
• Gregory B Krohel MD PC
• Carla M Gries
• Margaret A Griffin, N.P.
• Sarah Cipperly Griffin, PT
• Debra Griner, CNM
• Alexander Grinshpun, MD

• Licensed Practical Nurse in Troy, NY
• Providers in Troy, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.