Individual provider Active NPI

Tara Beth Conley, ANP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1982902748
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN260208 Issued in MA
Practice address
373 New Boston Rd
Fall River, MA 02720-5814
Phone
(508) 679-0911
Fax
(508) 536-0310
NPI assigned
Mar 3, 2011
Last updated
May 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN260208 MA Primary

Addresses

Primary practice location

373 New Boston Rd
Fall River, MA 02720-5814

Mailing address

373 New Boston Rd
Fall River, MA 02720-5814
Phone (508) 679-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110520000052 MA Practitioner - Nurse Practitioner 1052597374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GYN-OB Associates IncGroup PAC ID 8123073665, 5 clinicians

Practice addresses (Care Compare)

373 New Boston Rd
2ND Floor
Fall River, MA 02720-5814
Phone 5086790911110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GYN-OB Associates Inc CurrentSince Mar 25, 2011 Accepting new patients
Citizens for Citizens, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Citizens for Citizens, Inc. Current Accepting new patients

Locations

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

337 Hanover St
Fall River, MA 02720
Phone (508) 679-0198

373 New Boston Rd
Ste 2
Fall River, MA 02720
Phone (508) 679-0911

Interoperability endpoints

  • Direct secure messaging: tconley@gynob.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1982902748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 NEW BOSTON RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205814",
            "telephone_number": "508-679-0911",
            "fax_number": "508-536-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 NEW BOSTON RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205814",
            "telephone_number": "508-679-0911",
            "fax_number": "508-536-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "TARA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN260208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.