Active NPI
Tara A Capuano, NP
- Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPP33665
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 274-1100
- NPI assigned
- Mar 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APRN00272 | RI | |
| Nurse Practitioner | 363L00000X | NPP33665 | RI | Primary |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1100
Other names 1
- Tara Tillinghast
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00272 | RI | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Locations
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
101 Plain St
Ste 5
Providence, RI 02903
Phone (401) 453-7560
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
166 Toll Gate Rd
Warwick, RI 02886
Phone (401) 739-2000
Interoperability endpoints
- tcapuano6935@direct.carene.org
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1992834253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUANO",
"first_name": "TARA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "RI",
"license": "APRN00272",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP33665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "TILLINGHAST",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.