Active NPI
Debra Tague, FNP-C
- Family Nurse Practitioner
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1212177
- Practice address
- 4445 S 10TH St
Terre Haute, IN 47802-4315 - Phone
- (812) 917-4629
- Fax
- (812) 917-4631
- NPI assigned
- Aug 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1212177 | IN | Primary |
Addresses
Primary practice location
4445 S 10TH St
Terre Haute, IN 47802-4315
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 491-1462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone 41939433353569
2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830
2605 N Lebanon St
Lebanon, IN 46052-1476
6085 Heartland Dr
Zionsville, IN 46077-4433
Hospital & facility affiliations
- Witham Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1212177 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Witham Memorial Hospital | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Witham Memorial Hospital | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| NW Ohio Hospital Medicine Physicians LLC | Current | Accepting new patients | |
| Joint Township District Memorial Hospital | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| In Hospitalists, LLC | Current | Accepting new patients | |
| JTDM Family Practice LLC | Family | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900
200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387
Interoperability endpoints
- dtague@unionhealth.cernerdirect.com
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Lebanon, IN
- NPI 1083750293
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
- Hospitalist Physician
- Gary, IN
- NPI 1528311149
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1023794377
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1225735384
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Physical Therapist
- Zionsville, IN
- NPI 1952282204
-
- Family Medicine Physician
- St Marys, OH
- NPI 1184652539
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1760739130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-491-1462",
"fax_number": "812-492-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S 10TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024315",
"telephone_number": "812-917-4629",
"fax_number": "812-917-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGUE",
"first_name": "DEBRA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-05",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F1212177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.