Individual provider Active NPI

Tara Lemaster, FNP

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1720453632
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009925 Issued in KY
Practice address
617 23Rd St Ste 215
Ashland, KY 41101-2870
Phone
(606) 408-4260
Fax
(606) 408-6327
NPI assigned
Dec 2, 2015
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 3009925 KY Primary

Addresses

Primary practice location

617 23Rd St Ste 215
Ashland, KY 41101-2870

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other names 1

  • Tara Cordle (Maiden) Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160324001750 KY Practitioner - Nurse Practitioner 1052618618 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Nautilus Health Care Group, PLC Nurse Practitioner CurrentSince Nov 27, 2016 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Ashland Hospital Corporation CurrentSince Jun 1, 2020 Accepting new patients
Our Lady of Bellefonte Hospital, Inc. Nurse Practitioner PastSince Mar 20, 2016 Accepting new patients

Locations

1000 Ashland Dr
Ste G1
Ashland, KY 41101
Phone (606) 833-4043

1000 Ashland Dr
Ste G2
Ashland, KY 41101
Phone (606) 408-5864

1000 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 833-2273

1000 Saint Christopher Dr
Ste 3
Ashland, KY 41101

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

617 23rd St
Ste 215
Ashland, KY 41101
Phone (606) 408-1260

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

Organizations & group practices 5

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1720453632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 215",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012870",
            "telephone_number": "606-408-4260",
            "fax_number": "606-408-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMASTER",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CORDLE (MAIDEN)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.