TARA A WEATHERS NP NPI 1760660070

NPI Information

NPI: 1760660070
Provider Name: TARA A WEATHERS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-5175
Get Directions

Tara A Weathers, NP is a family nurse practitioner in Providence, RI with 17 years of experience. Tara A Weathers, NP NPI is 1760660070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-5175
Fax: (401) 444-8874

The NPI 1760660070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	8686	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	APRN00110	RHODE ISLAND	Yes
3	363LF0000X	Nurse Practitioner	Family	NPP37450	RHODE ISLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0070601881	OTHER	RHODE ISLAND	RI MEDICARE
2	06/10/2008	OTHER	RHODE ISLAND	BCBS
3	TW69699	MEDICAID	RHODE ISLAND
4	05/08/2008	OTHER	RHODE ISLAND	NHPRI
5	718882	MEDICAID	MASSACHUSETTS
6	939025129	OTHER	RHODE ISLAND	RI MEDICARE UEMF GROUP PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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