Laurel A Tait, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

MO00556 Issued in MO

Practice address

106 Highway 62 W
Salem, AR 72576-8059

Phone

(870) 895-2015

Fax

(870) 895-2164

NPI assigned

Jul 21, 2006

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Cedarville, AR
  • NPI 1164913984
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Osceola, AR
  • NPI 1184401325
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1245017870
  NPD (past)
• Access Medical Clinic Arkansas LLC

  dba Access Medical Podiatry

  • Podiatrist
  • Booneville, AR
  • NPI 1255910782
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Clarksville, AR
  • NPI 1265127591
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Dierks, AR
  • NPI 1295317295
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Viola, AR
  • NPI 1346869419
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Audiologist
  • Salem, AR
  • NPI 1376215608
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Heber Springs, AR
  • NPI 1407375595
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1831119676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 MAJESTIC OAKS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558143",
            "telephone_number": "662-236-7070",
            "fax_number": "662-236-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HIGHWAY 62 W",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725768059",
            "telephone_number": "870-895-2015",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "LAUREL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MO",
            "license": "MO00556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480005007",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02358739",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12934038",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spring River Home Health Agency Inc (Spring River Therapy)
• Spring River Home Health Agency Inc
• State of Arkansas
• Robin Stein, LCSW
• Karinda Dawn Sullivan, LCSW
• Ashley Tanner
• Thrive Therapy Solutions LLC
• Tri-County Medical Supply & Respiratory Services, Inc.
• Shira Lanae Turner, APRN
• Ellen Weseli Ward, APRN

• Primary Podiatric Medicine Podiatrist in Salem, AR
• Providers in Salem, AR by specialty
• Primary Podiatric Medicine Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.