Tara Kristine Manierre, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

013364 Issued in NY

Practice address

43 New Scotland Ave
Mail Code - 73
Albany, NY 12208-3412

Phone

(518) 262-3494

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmanierre100224@albanymed.direct-ci.com

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.

• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1497921688
  Medicare reassignment
• Columbia Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Hudson, NY
  • NPI 1083639587
  Medicare reassignment
• Columbia Memorial Regional Medical PLLC

  • Multi-Specialty Clinic/Center
  • Hudson, NY
  • NPI 1861072670
  Medicare reassignment
• Albany Medical College

  • Emergency Medicine Physician
  • Albany, NY
  • NPI 1174553093
  NPD
• Albany Medical College

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248
  NPD
• Albany Medical College

  • Physical Medicine & Rehabilitation Physician
  • Albany, NY
  • NPI 1629008537
  NPD
• Columbia Memorial Hospital

  • Rural Health Clinic/Center
  • Valatie, NY
  • NPI 1275403990
  NPD
• Columbia Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Copake, NY
  • NPI 1720333479
  NPD

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1982833026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE - 73",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE - 73",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIERRE",
        "first_name": "TARA",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "013364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Manecio
• Alex John Maneen, PA
• Irene Teresa Manfredo, LCSW
• Rookmini Mangal, CRC, MHC-LP
• Marlee Angeline Mangino, PHARMD
• Adrian Calin Maniu, MD
• Kallanna Manjunath, MD
• Sabrina Mann, MD
• Manning Emergency Medical Associates PLLC
• Denise M Manning

• Surgical Physician Assistant in Albany, NY
• Providers in Albany, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.