Tamara Renay Everhart, is a
Licensed Practical Nurse based in Keaau, Hawaii. Tamara Renay Everhart is licensed to practice in Idaho (license number 10206) and her current practice location is
15-1037 Kiawe Drive, Keaau, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(208) 818-9984.
NPI number for Tamara Renay Everhart is 1053078931 and her current mailing address is 15-2714 Pahoa Village Roan Unit H1 Box 235, Pahoa, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053078931.
Provider's Profile
Full Name | Tamara Renay Everhart |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 15-1037 Kiawe Drive, Keaau, Hawaii |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053078931
- Provider Enumeration Date: 11/26/2021
- Last Update Date: 11/26/2021
Medical Identifiers
Medical identifiers for Tamara Renay Everhart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053078931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 10206 (Idaho) | 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. Tamara Renay Everhart 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 |
Tamara Renay Everhart, 15-2714 Pahoa Village Roan Unit H1 Box 235, Pahoa, HI 96778 Ph: (208) 818-9984 | Tamara Renay Everhart, 15-1037 Kiawe Drive, Keaau, HI 96749 Ph: (208) 818-9984 |
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