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

Tara Weaver

Individual provider Family Nurse Practitioner · NPI 1528483856

Tara Weaver is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2012, 14 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2014
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Practice location Address checks out

9550 Allisonville Rd
Indianapolis, IN 46250-1201
Phone: (317) 842-4458
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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 71004802A (IN)

Record details

NPI number1528483856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2014
Last updated in NPPESFebruary 24, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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