Active NPI
Tara Lynn Swanton
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9238706
- Practice address
- 3901 University Blvd S
Suite 221
Jacksonville, FL 32216-4312 - Phone
- (904) 423-0010
- Fax
- (904) 423-0010
- NPI assigned
- Nov 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9238706 | FL | Primary |
Addresses
Primary practice location
3901 University Blvd S
Suite 221
Jacksonville, FL 32216-4312
Mailing address
4641 Clyde Morris Blvd
Unit 201
Port Orange, FL 32129-6002
Phone (386) 322-6340
Other names 1
- Tara Lynn Hopkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4641 S Clyde Morris Blvd
Suite 201
Port Orange, FL 32129-6002
Phone (386) 322-6340
Hospital & facility affiliations
- Adventhealth Daytona Beach
- Adventhealth New Smyrna Beach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9238706 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Integrative Healthcare Inc | Current | Accepting new patients | |
| Coastal Integrative Healthcare Inc | Current | Accepting new patients | |
| Renal Care Consultants PL | Current | Accepting new patients |
Locations
315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403
145 Cypress Point Pkwy
Ste 207
Palm Coast, FL 32164
Phone (386) 225-4700
4641 Clyde Morris Blvd
Unit 201
Port Orange, FL 32129
Phone (386) 322-6340
Organizations & group practices 3
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.
-
- Nephrology Physician
- Port Orange, FL
- NPI 1174779870
-
- Nurse Practitioner
- Edgewater, FL
- NPI 1093126203
-
- Durable Medical Equipment & Medical Supplies
- Palm Coast, FL
- NPI 1477161073
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1982147963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 CLYDE MORRIS BLVD",
"address_2": "UNIT 201",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321296002",
"telephone_number": "386-322-6340",
"fax_number": "386-322-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 UNIVERSITY BLVD S",
"address_2": "SUITE 221",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164312",
"telephone_number": "904-423-0010",
"fax_number": "904-423-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANTON",
"first_name": "TARA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-23",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9238706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "HOPKINS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.