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

Tara Momplaisir, CRNP

Individual provider Nurse Practitioner · NPI 1700836822

Tara Momplaisir, CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2002, 24 years ago. Practices with Johns Hopkins University, a 2,855-clinician group. Licensed in Maryland.

Years since qualifying
24
Licensed in
MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone: (410) 550-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R152905 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence R152905 (MD)

Record details

NPI number1700836822
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address6201 Greenleigh Ave Fl 2, Middle River, MD 21220-2004

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated

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