Tarah Winter Jasper, APRN PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Lagrange, Kentucky. Tarah Winter Jasper is licensed to practice in New Mexico (license number 59419) and her current practice location is
1612 Dawkins Road, Lagrange, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 222-0365.
NPI number for Tarah Winter Jasper is 1043843808 and her current mailing address is 4302 Grand Wood Way, Crestwood, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043843808.
Provider's Profile
Full Name | Tarah Winter Jasper |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1612 Dawkins Road, Lagrange, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043843808
- Provider Enumeration Date: 02/19/2020
- Last Update Date: 11/24/2023
Medical Identifiers
Medical identifiers for Tarah Winter Jasper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043843808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3018541 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 59419 (New Mexico) | 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. Tarah Winter Jasper 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 |
Tarah Winter Jasper, APRN PMHNP 4302 Grand Wood Way, Crestwood, KY 40014-9796 Ph: (254) 319-1121 | Tarah Winter Jasper, APRN PMHNP 1612 Dawkins Road, Lagrange, KY 40031-8729 Ph: (502) 222-0365 |
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