Individual provider Active NPI

Tara Lynne Hughes, NP

  • Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1982787586
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001977 Issued in IN
Practice address
1201 Michigan Ave Ste 270
Logansport, IN 46947-1530
Phone
(574) 722-4921
Fax
(574) 739-0520
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001977 IN Primary

Addresses

Primary practice location

1201 Michigan Ave Ste 270
Logansport, IN 46947-1530

Mailing address

1201 Michigan Ave Ste 270
Logansport, IN 46947-1530
Phone (574) 722-4921

Other identifiers 1

IdentifierTypeStateIssuer
200816280MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060328000195 IN Practitioner - Nurse Practitioner 1658389002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Logansport Hospital IncGroup PAC ID 8921500646, 41 clinicians
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians

Practice addresses (Care Compare)

1201 Michigan Ave
Logansport, IN 46947-1530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71001977INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash Em I Medical Services PC Nurse Practitioner Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Mid State Logansport Ed Physicians Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1982787586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-722-4921",
            "fax_number": "574-739-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-722-4921",
            "fax_number": "574-739-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "TARA",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200816280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.