| Tara Locke, FNP-C | |
|
464 Herndon Pkwy Ste 216, Herndon, VA 20170-5200 | |
| (866) 306-2026 | |
| (833) 228-5591 |
| Full Name | Tara Locke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 464 Herndon Pkwy Ste 216, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700303518 | NPI | - | NPPES |
| MT8002785 | Other | VA | DEA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5009810 (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 5009810 (North Carolina) | Secondary |
| Entity Name | Urgent Care Of Mountain View Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760767446 PECOS PAC ID: 8022284355 Enrollment ID: O20120109000015 |
| Entity Name | Ctd Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851039762 PECOS PAC ID: 4486025087 Enrollment ID: O20230803000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Locke, FNP-C 338 1st Ave Sw, Taylorsville, NC 28681-2402 Ph: (828) 632-9704 | Tara Locke, FNP-C 464 Herndon Pkwy Ste 216, Herndon, VA 20170-5200 Ph: (866) 306-2026 |
Gabriela Aguila Conway, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1141 Elden St Ste 300, Herndon, VA 20170 Phone: 860-810-7140 | |
Ms. Sarah J Kang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Herndon Pkwy, # 100, Herndon, VA 20170 Phone: 703-481-1505 Fax: 703-742-8793 | |
Emelia F Andoh, DR. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Elden St, Herndon, VA 20170 Phone: 571-665-4000 | |
Abigail Vanderweyden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1062 Elden St, Herndon, VA 20170 Phone: 703-471-7000 | |
Mrs. Catherine Cole Elder, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13525 Dulles Technology Dr, Herndon, VA 20171 Phone: 703-481-8160 | |
Mrs. Patricia Fallon Lucas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Grove St, Herndon, VA 20170 Phone: 703-620-4294 | |
Mr. Ngonidzashe Chifamba, APRN , CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3080 Centreville Rd Ste 200, Herndon, VA 20171 Phone: 571-449-2040 |