Individual provider Active NPI

Tara Parekh Cooney, NURSE PRACTITIONER

  • Nurse Practitioner
  • Media, PA
National Provider Identifier
1770212615
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024585 Issued in PA
Practice address
1088 W Baltimore Pike Ste 2203
Media, PA 19063-5136
Phone
(484) 476-8390
Fax
(484) 476-7842
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 SP024585 PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike Ste 2203
Media, PA 19063-5136

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 476-8390

Other practice location 1

2010 W Chester Pike Ste 406
Havertown, PA 19083-2739
Phone (610) 619-7475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221129002342 PA Practitioner - Nurse Practitioner 7214305010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

1088 W Baltimore Pike
Media, PA 19063-5146
Phone (484) 227-3863

2010 W Chester Pike
Suite 406
Havertown, PA 19083-2739
Phone (610) 619-7475

900 W Baltimore Pike
West Grove, PA 19390-9313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024585PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Christiana Care Pennsylvania Inc Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 1, 2025 Accepting new patients
Main Line Healthcare Nurse Practitioner CurrentSince Jan 17, 2026 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1 Medical Center Blvd
Ste 531
Chester, PA 19013
Phone (610) 447-2727

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

500 Evergreen Dr
Ste 26
Glen Mills, PA 19342
Phone (610) 619-7475

2010 W Chester Pike
Ste 406
Havertown, PA 19083
Phone (610) 619-7475

1088 W Baltimore Pike
Media, PA 19063
Phone (610) 744-2960

1088 W Baltimore Pike
Ste 2203
Media, PA 19063
Phone (484) 476-8390

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 7

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 1

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1770212615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-476-8390",
            "fax_number": "484-476-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE STE 2203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635136",
            "telephone_number": "484-476-8390",
            "fax_number": "484-476-7842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 W Chester Pike Ste 406",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190832739",
            "country_code": "US",
            "telephone_number": "610-619-7475",
            "fax_number": "610-619-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONEY",
        "first_name": "TARA",
        "middle_name": "PAREKH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.