JOANN R. TART APRN NPI 1548293103

NPI Information

NPI: 1548293103
Provider Name: JOANN R. TART, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3925 N GATEWAY DR
APPLETON, WI
ZIP 54913
Phone: (920) 454-8401
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Joann R. Tart, APRN is a family nurse practitioner in Appleton, WI with 39 years of experience. Joann R. Tart, APRN NPI is 1548293103. 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:

3925 N GATEWAY DR
APPLETON, WI
ZIP 54913-863
Phone: (920) 454-8401

The NPI 1548293103 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 7/8/2006 and was last updated on 10/2/2023.

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	163W00000X	Registered Nurse		R35611	NEW MEXICO	No
2	163WX0200X	Registered Nurse	Oncology	R35611	NEW MEXICO	No
3	363L00000X	Nurse Practitioner		2161	WISCONSIN	No
4	363L00000X	Nurse Practitioner		AP2984	ARIZONA	No
5	363L00000X	Nurse Practitioner		A004325	ARKANSAS	No
6	363LF0000X	Nurse Practitioner	Family	2161	WISCONSIN	Yes

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	319858	MEDICAID	ARIZONA
2	67509860	MEDICAID	NEW MEXICO

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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