Tarter Family Medicine Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP439A Issued in ID

Legal business name

TARTER FAMILY MEDICINE INC

Practice address

1560 N Crestmont Dr Ste a
Meridian, ID 83642-2178

Phone

(208) 650-4888

Fax

(208) 650-4892

NPI assigned

Sep 15, 2015

Last updated

Sep 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan Tarter

Title

Owner

Phone

(208) 880-8919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1972972446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-650-4888",
            "fax_number": "208-650-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-650-4888",
            "fax_number": "208-650-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARTER FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "TARTER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-880-8919"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP439A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275631244",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carey Tanabe, PA-C
• Tanabell Health Services Inc (Meridian Meadows Assisted Living)
• Tanabell Health Services, Inc. (Meridian Meadows Transitional Care)
• Natalie Tang, PHARMD
• Vicky Tang, PHARMD
• Kate Tarver, DPT
• Tracy A Tathwell, PT
• Mikayla Lynn Taugher, PA-C
• Taylor G Wright PC (Innovation Medical Group)
• Anson P Taylor, COTA/L

• Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.