Mrs Tara Nichole Smith, RN is a
Registered Nurse based in Adolphus, Kentucky. Mrs Tara Nichole Smith is licensed to practice in Kentucky (license number 1139739) and her current practice location is
308 Blunt Ford Rd, Adolphus, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 622-9418.
NPI number for Mrs Tara Nichole Smith is 1003565680 and her current mailing address is 308 Blunt Ford Rd, Adolphus, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003565680.
Provider's Profile
| Full Name | Mrs Tara Nichole Smith |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 308 Blunt Ford Rd, Adolphus, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003565680
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 03/22/2022
Medical Identifiers
Medical identifiers for Mrs Tara Nichole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003565680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 1139739 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Nichole Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Tara Nichole Smith, RN
308 Blunt Ford Rd,
Adolphus, KY 42120-8719
Ph: () - | Mrs Tara Nichole Smith, RN
308 Blunt Ford Rd,
Adolphus, KY 42120-8719
Ph: (270) 622-9418 |
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