Tara Allain, FNP
Individual provider Active NPI Family Nurse Practitioner · Medway, MA
NPI 1972875615 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1972875615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2282963 (MA)
- Practice address
- 67 Main St
Medway, MA 02053-1817 - Phone
- (866) 389-2727
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostic of Massachusetts, LLC
Practice addresses (Care Compare)
165 University Dr
Amherst, MA 01002-8900
Phone (866) 389-2727
189 Watertown St
Watertown, MA 02472-2571
Phone (866) 389-2727
311 Newbury St
Danvers, MA 01923-1027
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130411000392 | MA | Practitioner - Nurse Practitioner | 0143484857 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337097 | NY | MD | Surgery Physician |
| RN2282963 | MA | MD | Family Nurse Practitioner |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Massachusetts LLC | Family | Current |
Accepting new patients |
Locations
270 Grove St
Braintree, MA 02184
Phone (781) 356-0714
311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100
1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337097 | NY | |
| Family Nurse Practitioner | 363LF0000X | RN2282963 | MA | Yes |
Addresses
Primary practice location
67 Main St
Medway, MA 02053-1817
Mailing address
67 Main St
Medway, MA 02053-1817
Phone (866) 389-2727
Other providers in Medway, MA
- Acupuncture Care Medway
- Amy W.B. Adams
- Julia Akinkuoye
- Align Physical Therapy & Wellness, LLC
- Aligned Nutrition Counseling, Inc.
- Danielle N Allen
- Susan Apicella
- Milan Artis
- Jeffrey Ayotte
- Sydney Baker
All providers in Medway, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.