TARA BUCKHALTER CPNP – NPI #1669071866
Nurse Practitioner

TARA BUCKHALTER is a nurse practitioner located in ATLANTA, GA. NPPES has assigned the NPI number 1669071866 to TARA BUCKHALTER on October 20, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LP0200X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Pediatrics

The NPI profile was last updated on Oct 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARA BUCKHALTER below.

NPI Profile for
TARA BUCKHALTER

NPI Number
1669071866
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TARA BUCKHALTER
Credentials
CPNP
Primary location
1150 LAKE HEARN DRIVE
ATLANTA, GA 30342
Phone: (954) 594-6520 Fax:
1 Other location(s):
1405 Clifton Rd NE
Atlanta, GA 30322-1060
Phone: (404) 785-6330
Mailing address
4263 GLENGARY DRIVE NE
ATLANTA, GA 30342
Phone: (954) 594-6520 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LP0200X
- Nurse Practitioner / Pediatrics (Primary)
GA RN212433

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.