Tara Tenier Crosby, CNA
Individual provider Active NPI Contractor · Mason, TN
NPI 1760116347 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1760116347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 4230 Beaver Creek Dr
Mason, TN 38049-6806 - Phone
- (312) 402-6747
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4015 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace & Loving Hearts Care Services LLC | Current |
Accepting new patients | |
| Grace & Loving Hearts Care Services LLC | Non-Emergency Medical Transport (Van) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | TN | Yes | |
| In Home Supportive Care Agency | 253Z00000X | 4015 | TN |
Addresses
Primary practice location
4230 Beaver Creek Dr
Mason, TN 38049-6806
Mailing address
4230 Beaver Creek Dr
Mason, TN 38049-6806
Phone (312) 402-6747
Other providers in Mason, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.