Tara Clements Conti, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005826 Issued in NC

Practice address

705 S Mangum St
Durham, NC 27701-3904

Phone

(919) 683-1607

NPI assigned

Sep 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Tara Watkins Clements Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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 and National Provider Directory roles.

• Baart Community Healthcare

  • Community Health Clinic/Center
  • San Francisco, CA
  • NPI 1982781159
  NPD
• Baart Community Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Durham, NC
  • NPI 1376075556
  NPD (past)
• North Carolina State University

  • Student Health Clinic/Center
  • Raleigh, NC
  • NPI 1881712842
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1891928354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AMIABLE LOOP",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195566",
            "telephone_number": "703-509-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013904",
            "telephone_number": "919-683-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "TARA",
        "middle_name": "CLEMENTS",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00245700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CLEMENTS",
            "middle_name": "WATKINS",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Aaron Conroy, MSW, LCSW
• Conscious Awakening Counseling and Consulting PLLC
• Deidre Consol, AGPCNP-BC
• Julia Power Constant, MHS PA-C
• Laurie Michelle Conteh, RD
• Francisco Javier Contreras Hernandez, LCSW
• Courtney Marie Contreras
• Johanna Alexandra Contreras, MSW, LCSWA
• Converge Therapy
• Anikke M Conway, MD

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.