Tara Hyneman
Tara Hyneman is a Nurse Practitioner in Gouverneur, New York. Qualified in 2025, 1 year ago. Practices with Canton-Potsdam Hospital, a 239-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
77 W Barney StGouverneur, NY 13642-1040
Phone: (315) 287-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 357031 (NY) |
|---|---|
| Obstetrics & Gynecology Nurse Practitioner | Taxonomy 363LX0001X · Licence 357031 (NY) |
Record details
| NPI number | 1518857440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 3, 2025 |
| Last updated in NPPES | July 3, 2025 |
| Certification date | July 3, 2025 |
| Mailing address | 50 Leroy St, Potsdam, NY 13676-1786 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Canton-Potsdam Hospital — 239 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |