Tara Todd Lineweaver, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041964A Issued in IN

Practice address

9531 Valparaiso CT
Indianapolis, IN 46268-1130

Phone

(317) 879-8940

Fax

(317) 872-0914

NPI assigned

Jun 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Rehabilitation Hospital of Indiana, Inc.

  • Rehabilitation Hospital
  • Indianapolis, IN
  • NPI 1255406369
  NPD (past)
• Rehabilitation Physicians of Indiana LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Indianapolis, IN
  • NPI 1356566137
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1942436837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 VALPARAISO CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681130",
            "telephone_number": "317-879-8940",
            "fax_number": "317-872-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEWEAVER",
        "first_name": "TARA",
        "middle_name": "TODD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041964A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200944120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamryn Marie Line
• Trenton Alexander Line
• Anthony Lines
• Laura Marie Lines, LCSW
• Timothy A Lines, PHD HSPP
• Caleb Ling
• James Edward Lingeman, MD
• Sandra Lingg, RD
• Raj S Lingnurkar, MD
• Linguapeds, LLC

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.