Individual provider Active NPI

Tara Lamm, APRN, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1952866626
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141504 Issued in TX
Practice address
1550 Moores LN Ste E
Texarkana, TX 75503-4657
Phone
(903) 792-7435
NPI assigned
Feb 6, 2019
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006088 AR
Family Nurse Practitioner 363LF0000X AP141504 TX Primary

Addresses

Primary practice location

1550 Moores LN Ste E
Texarkana, TX 75503-4657

Mailing address

1550 Moores LN Ste E
Texarkana, TX 75503-4657
Phone (903) 792-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200210000999 TX Practitioner - Nurse Practitioner 3870929979 Reassigns benefits to 1 organization
I20231004003848 AR Practitioner - Nurse Practitioner 3870929979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Red River Health LLCGroup PAC ID 7416320783, 6 clinicians

Practice addresses (Care Compare)

1550 Moores LN
Texarkana, TX 75503-4657
Phone (903) 792-7435

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006088ARMDFamily Nurse Practitioner
AP141504TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Health, LLC CurrentSince Feb 1, 2023 Accepting new patients
Red River Health, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

2908 S Caraway Rd
Ste A
Jonesboro, AR 72401
Phone (870) 336-2195

1550 Moores Ln
Texarkana, TX 75503
Phone (903) 792-7435

1550 Moores Ln
Ste E
Texarkana, TX 75503
Phone (903) 792-7435

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1952866626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN STE E",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "903-792-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN STE E",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "903-792-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.