TARA PHILLIPS APRN NPI 1972360600

NPI Information

  • NPI: 1972360600
  • Provider Name: TARA PHILLIPS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17840 BAGLEY RD
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Phone: (440) 497-7907

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NPI Details

Tara Phillips, APRN is a family nurse practitioner in Middleburg Heights, OH with 3 years of experience. Tara Phillips, APRN NPI is 1972360600. 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:

17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130-401
Phone: (440) 497-7907

The NPI 1972360600 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 2/29/2024 and was last updated on 5/16/2024.

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
1363LP2300XNurse PractitionerPrimary CareAPRN.CNP.0035857OHIONo
2363LF0000XNurse PractitionerFamilyAPRN.CNP.0035857OHIOYes

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: 11/21/2025

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