Individual provider Active NPI

Taryne Ashley Wolf

  • Nurse Practitioner
  • Lafayette, CO
National Provider Identifier
1922778976
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0996862 Issued in CO
Practice address
2593 Park LN
Lafayette, CO 80026-3172
Phone
(303) 665-0115
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 0996862 CO Primary

Addresses

Primary practice location

2593 Park LN
Lafayette, CO 80026-3172

Mailing address

2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone (303) 449-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20211103001100 CO Practitioner - Nurse Practitioner 5395133896 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996862COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Community Care CurrentSince Jan 1, 2024 Accepting new patients
Tru Community Care PastSince Mar 30, 2025 Accepting new patients
Summit Primary Care PastSince May 1, 2020 Accepting new patients

Locations

2594 Trailridge Dr E
Lafayette, CO 80026
Phone (303) 449-7740

2594 Trailridge Dr E
Ste A
Lafayette, CO 80026
Phone (303) 449-7740

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1922778976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 TRAILRIDGE DR E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263186",
            "telephone_number": "303-449-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 PARK LN",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263172",
            "telephone_number": "303-665-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "TARYNE",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0996862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.