Individual provider Active NPI

Tara Heinrich, NP

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1679314728
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
063791-23 Issued in NH
Practice address
436 Amherst St Ste 101
Nashua, NH 03063-1276
Phone
(603) 577-3003
Fax
(603) 577-3331
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 063791-23 NH Primary

Addresses

Primary practice location

436 Amherst St Ste 101
Nashua, NH 03063-1276

Mailing address

436 Amherst St Ste 101
Nashua, NH 03063-1276
Phone (603) 577-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240713000347 NH Practitioner - Nurse Practitioner 6800331836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Solutions PLLCGroup PAC ID 7911979265, 9 clinicians

Practice addresses (Care Compare)

436 Amherst St
Suite 101
Nashua, NH 03063-1276
Phone (603) 577-3003

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Solutions, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Pain Solutions PLLC CurrentSince Jul 1, 2024 Accepting new patients
Centers for Pain Solutions,LLC Past Accepting new patients

Locations

197 Loudon Rd
Ste 200
Concord, NH 03301
Phone (603) 224-9797

280 Main St
Ste 431
Nashua, NH 03060
Phone (603) 881-9311

436 Amherst St
Ste 101
Nashua, NH 03063
Phone 6036472333101

436 Amherst St
Ste 201
Nashua, NH 03063

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1679314728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 AMHERST ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631276",
            "telephone_number": "603-577-3003",
            "fax_number": "603-577-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 AMHERST ST STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631276",
            "telephone_number": "603-577-3003",
            "fax_number": "603-577-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "TARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "063791-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.