Tara-Kaye Clunis, APRN
Nurse Practitioner, Acute Care in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1124629902
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1124629902
- Entity type
- Individual (NPI-1)
- Name
- Tara-Kaye Clunis
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 11010290 | FL | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 11010290 | FL |
Practice location
1600 S Andrews AveFort Lauderdale, FL 33316-2510
Phone 954-527-3782
Mailing address
832 Nw 130th AvePembroke Pines, FL 33028-3135
Phone 954-292-7574
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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