Tara Morissette

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN.CNP.025208 Issued in OH

Practice address

1622 E Turkeyfoot Lake Rd Ste 100
Akron, OH 44312-5277

Phone

(330) 899-5437

Fax

(330) 899-5447

NPI assigned

Dec 9, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• Akron Children'S Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD
• Children'S Hospital Medical Center of Akron

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1962049080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-899-5437",
            "fax_number": "330-899-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-899-5437",
            "fax_number": "330-899-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISSETTE",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.025208",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "RN.350935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmorissette13028@direct.chmca.org",
            "affiliation": "N",
            "address_1": "1622 E Turkeyfoot Lake Rd Ste 100",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443125277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Palmer Morgan, RN BSN
• Syreeta Cherilyn Morgan
• James J. Morgenstern, DC
• Julie Morig, LPCC
• William E. Morisak, D.D.S.
• Michael Moritz
• Morningsong Management Company
• Kelly D Morring, ATC
• Jonathan Morris McCray
• Brandon Michael Morris, D.O.

• Pediatric Nurse Practitioner in Akron, OH
• Providers in Akron, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.