Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Green

Individual provider Critical Access Hospital · NPI 1831304658

Tara Green is a Certified Clinical Nurse Specialist (Cns) in Dayton, Ohio. Qualified in 1996, 30 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2007
Specialties on file
2

Practice location Address checks out

30 E Apple St Ste 5254A
Dayton, OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence COA.02166-NS (OH)
Critical Access Hospital Taxonomy 282NC0060X · Licence RN217893 (OH)

Record details

NPI number1831304658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 26, 2013
Mailing address30 E Apple St, Ste 5254a, Dayton, OH 45409-2939

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dayton