Tara Ashley Holley, FNP is a
Nurse Practitioner - Family based in Shady Cove, Oregon. Tara Ashley Holley is licensed to practice in Oregon (license number 10009584) and her current practice location is
21990 Highway 62, Shady Cove, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 878-2022.
NPI number for Tara Ashley Holley is 1013630797 and her current mailing address is Po Box 508, Shady Cove, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013630797.
Provider's Profile
Full Name | Tara Ashley Holley |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 21990 Highway 62, Shady Cove, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013630797
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Tara Ashley Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013630797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 50884 (Wyoming) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 50884 (Wyoming) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10009584 (Oregon) | 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. Tara Ashley Holley 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 |
Tara Ashley Holley, FNP Po Box 508, Shady Cove, OR 97539-0508 Ph: () - | Tara Ashley Holley, FNP 21990 Highway 62, Shady Cove, OR 97539-9717 Ph: (541) 878-2022 |
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