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

Tara Parekh Cooney, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1770212615

Tara Parekh Cooney, NURSEPRACTITIONER is a Nurse Practitioner in Media, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

1088 W Baltimore Pike Ste 2203
Media, PA 19063-5136
Phone: (484) 476-8390
Fax: (484) 476-7842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2010 W Chester Pike Ste 406, Havertown, PA 19083-2739 — (610) 619-7475

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP024585 (PA)

Record details

NPI number1770212615
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 7, 2022
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Media