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

Tara Polla, DNP

Individual provider Registered Nurse · NPI 1730733486

Tara Polla, DNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Shock Trauma Associates PA, a 262-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (516) 313-9298
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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 R221466 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R221466 (MD)

Record details

NPI number1730733486
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address22 S Greene St, Baltimore, MD 21201-1544

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shock Trauma Associates Pa — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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