Individual provider Active NPI

Tauni Carter, P.A.-C.

  • Medical Physician Assistant
  • Keizer, OR
National Provider Identifier
1811292170
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
159903 Issued in OR
Practice address
5900 Inland Shores Way N
Keizer, OR 97303-3883
Phone
(503) 399-2424
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 159903 OR
Medical Physician Assistant 363AM0700X 159903 OR Primary

Addresses

Primary practice location

5900 Inland Shores Way N
Keizer, OR 97303-3883

Mailing address

1107 Browning Ave S
Salem, OR 97302-6118
Phone (503) 949-6469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20140815002105 OR Practitioner - Physician Assistant 4385874213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Clinic PCGroup PAC ID 7517954514, 96 clinicians

Practice addresses (Care Compare)

2020 Capitol St NE
Salem, OR 97301-0644
Phone (503) 399-2424

2531 Boone Rd SE
Salem, OR 97306-9675
Phone (503) 399-2424

5900 Inland Shores Way N
Suite 100
Keizer, OR 97303-3883
Phone (503) 399-2424

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
159903ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Clinic, PC CurrentSince Jul 15, 2024 Accepting new patients

Locations

5900 Inland Shores Way N
Keizer, OR 97303
Phone (503) 485-4787

5900 Inland Shores Way N
Ste 100
Keizer, OR 97303

2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470

Interoperability endpoints

  • Direct secure messaging: tcarterbergstrom38838@salemclinic.gardenplot.direct-ci.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1811292170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROWNING AVE S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026118",
            "telephone_number": "503-949-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 INLAND SHORES WAY N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033883",
            "telephone_number": "503-399-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TAUNI",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "159903",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "159903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.