Individual provider Active NPI

Tara Elyse Muirhead

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1760169171
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351461-01 Issued in NY
Practice address
3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone
(718) 444-7766
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F351461-01 NY Primary

Addresses

Primary practice location

3709 Flatlands Ave
Brooklyn, NY 11234-3507

Mailing address

85 Walnut Ave
Floral Park, NY 11001-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230725003530 NY Practitioner - Nurse Practitioner 1557722402 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
Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Practice addresses (Care Compare)

3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (646) 535-1545

Hospital & facility affiliations

  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Four Seasons Nursing & Rehabilitation Chha Home health agency, Brooklyn, NY, CCN 337434
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings County House Calls NP in Family Health PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1760169171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WALNUT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343507",
            "telephone_number": "718-444-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIRHEAD",
        "first_name": "TARA",
        "middle_name": "ELYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351461-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.