Individual provider Active NPI

Tabitha Dennard, CRNP

  • Gerontology Nurse Practitioner
  • Seaford, DE
National Provider Identifier
1932811551
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R197155 Issued in MD
Practice address
715 E King St
Seaford, DE 19973-3505
Phone
(302) 628-3000
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R197155 MD
Gerontology Nurse Practitioner 363LG0600X LP-0010626 DE
Gerontology Nurse Practitioner 363LG0600X R197155 MD Primary

Addresses

Primary practice location

715 E King St
Seaford, DE 19973-3505

Mailing address

8732 Shadow LN
Delmar, MD 21875-2517
Phone (410) 251-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230119001563 MD Practitioner - Nurse Practitioner 5395116859 Reassigns benefits to 1 organization
I20230119002156 DC Practitioner - Nurse Practitioner 5395116859 Reassigns benefits to 1 organization
I20230327000201 DE Practitioner - Nurse Practitioner 5395116859 Reassigns benefits to 1 organization
I20250305002176 CO Practitioner - Nurse Practitioner 5395116859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

1 Price Dr
Elkton, MD 21921-6731
Phone (410) 398-6474

1001 Middleford Rd
Seaford, DE 19973-3638
Phone (302) 629-4593

109 Forest Valley Dr
Forest Hill, MD 21050-2831
Phone (410) 838-0101

11239 Berry Rd
Waldorf, MD 20603-6048
Phone (301) 818-6900

1235 Potomac Valley Rd
Rockville, MD 20850-2757
Phone (301) 762-0700

17351 Melford Blvd
Bowie, MD 20715-4457
Phone (240) 548-1300

2131 O St NW
Washington, DC 20037-1008
Phone (202) 785-2577

231 S Washington St
Millsboro, DE 19966-1236
Phone (302) 934-7300

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042
Phone (301) 884-8171

300 Saint Luke Cir
Westminster, MD 21158-4174
Phone (410) 848-0090

5651 Limestone Rd
Wilmington, DE 19808-1217
Phone (302) 239-8583

889 S Little Creek Rd
Dover, DE 19901-4721
Phone (302) 674-0566

Hospital & facility affiliations

  • Carroll Lutheran Village Nursing home, Westminster, MD, CCN 215133
  • Gilpin Hall Nursing home, Wilmington, DE, CCN 085047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010626DEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists, LLC CurrentSince Sep 6, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1660 Allison St
Lakewood, CO 80214
Phone (303) 232-7177

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

9825 S Jordan Gtwy
Sandy, UT 84070

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1932811551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8732 SHADOW LN",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752517",
            "telephone_number": "410-251-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E KING ST",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733505",
            "telephone_number": "302-628-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNARD",
        "first_name": "TABITHA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R197155",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LP-0010626",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R197155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.