Tara Brooke Kupperstein, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08220906 Issued in PA

Practice address

301 Oxford Valley Rd # 701
Yardley, PA 19067-7706

Phone

(215) 321-7221

NPI assigned

Jan 5, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Bcgi Pathology

  • Anatomic Pathology Physician
  • Yardley, PA
  • NPI 1437557329
  NPD (past)
• Main Line Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Malvern, PA
  • NPI 1467429365
  NPD (past)

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1962115808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 BASSWOOD CIR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537217",
            "telephone_number": "215-606-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD # 701",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-321-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPERSTEIN",
        "first_name": "TARA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F08220906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dzvinka Kshik, FNP-BC
• Debra Kudenchak, RN
• Julia Kulp, LCSW
• Nitin Kumar, M.D
• Uday Sitakant Kunte, MD
• Jiss Kuruvilla
• Barry Neil Kutner, M.D.
• Jill Wendy Kwasny, MS RD CDE
• David Francis Ladley, D.O.
• Talia Victoria Wood Lafond, D.M.D.

• Family Nurse Practitioner in Yardley, PA
• Providers in Yardley, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.