Tara Dawn Hatfield, APRN,FNP-C,FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

112490 Issued in WV

Practice address

1690 Holden Rd
Logan, WV 25601-7026

Phone

(304) 239-8070

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• MSRC, LLC

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1194294587
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1801537758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 HOLDEN RD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256017026",
            "telephone_number": "304-239-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 HOLDEN RD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256017026",
            "telephone_number": "304-239-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "TARA",
        "middle_name": "DAWN",
        "credential": "APRN,FNP-C,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "112490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Harvey, BA
• Marian Nicole Hatcher, RN, BSN
• Mark Allan Hatcher, RN
• Brittany Hatfield
• Hannah Hatfield
• Ryan Haught
• Judy Layne Hayes
• Healogics Specialty Physicians of West Virginia, PLLC
• Health Care Management, LLC
• Healthy Habits Wellness Center Lab

• Nurse Practitioner in Logan, WV
• Providers in Logan, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.

Verify at the official NPI Registry.