Individual provider Active NPI

Tara Coulter

  • Medical Physician Assistant
  • Butler, PA
National Provider Identifier
1972325496
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065627 Issued in PA
Practice address
1 Hospital Way
Butler, PA 16001-4670
Phone
(724) 283-6666
NPI assigned
Oct 28, 2024
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA065627 PA Primary

Addresses

Primary practice location

1 Hospital Way
Butler, PA 16001-4670

Mailing address

207 Horse Shoe Dr
Clinton, PA 15026-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002689 PA Practitioner - Physician Assistant 2567998347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

One Hospital Way 4TH Floor
BHS Women's Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Dec 2, 2024 Accepting new patients
Butler Medical Providers CurrentSince Dec 2, 2024 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1972325496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HORSE SHOE DR",
            "city": "CLINTON",
            "state": "PA",
            "postal_code": "150261779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-283-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.