Individual provider Active NPI

Tara M. Wright, DNP, FNP, BSN, RN

  • Family Nurse Practitioner
  • Salem, SC
National Provider Identifier
1962293076
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
109864 Issued in SC
Practice address
20 Beacon Ridge Cir
Salem, SC 29676-4505
Phone
(864) 770-3714
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
No

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 N Hwy 11
West Union, SC 29696-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
109864SCMDFamily Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 109864 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

20 Beacon Ridge Cir
Salem, SC 29676-4505

Mailing address

20 Beacon Ridge Cir
Salem, SC 29676-4505
Phone (864) 770-3714

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2025.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1962293076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEACON RIDGE CIR",
            "city": "SALEM",
            "state": "SC",
            "postal_code": "296764505",
            "telephone_number": "864-770-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEACON RIDGE CIR",
            "city": "SALEM",
            "state": "SC",
            "postal_code": "296764505",
            "telephone_number": "864-770-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TARA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "109864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, SC

Sources for this page

Verify at the official NPI Registry.