Tanisha Keriel Tart, PMHNP - Nurse Practitioner in Shallotte, NC

Tanisha Keriel Tart, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Shallotte, North Carolina. Tanisha Keriel Tart is licensed to practice in South Carolina (license number 27936) and her current practice location is 120 Coastal Horizons Dr, Shallotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 754-4515.

NPI number for Tanisha Keriel Tart is 1407606486 and her current mailing address is 615 Shipyard Blvd, Wilmington, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407606486.

Contact Information

Tanisha Keriel Tart, PMHNP
120 Coastal Horizons Dr,
Shallotte, NC 28470-6094
(910) 754-4515
Not Available



Provider's Profile

Full NameTanisha Keriel Tart
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location120 Coastal Horizons Dr, Shallotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407606486
  • Provider Enumeration Date: 03/25/2024
  • Last Update Date: 04/30/2024

Medical Identifiers

Medical identifiers for Tanisha Keriel Tart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407606486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5019957 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5019957 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 27936 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanisha Keriel Tart is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tanisha Keriel Tart, PMHNP
615 Shipyard Blvd,
Wilmington, NC 28412-6431

Ph: () -
Tanisha Keriel Tart, PMHNP
120 Coastal Horizons Dr,
Shallotte, NC 28470-6094

Ph: (910) 754-4515

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Nurse Practitioner Nurses in Shallotte, NC

Elizabeth Barton,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3640 Express Dr, Shallotte, NC 28470
Phone: 910-755-5222    
Mr. John Hudson Fillmore, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 640 Whiteville Rd Nw, Shallotte, NC 28470
Phone: 910-754-4441    
Jennifer Louise Schweer,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5145 Sellers Rd, Shallotte, NC 28470
Phone: 910-754-4441    
Hannah Nicholson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470
Phone: 910-754-2273    Fax: 910-754-2254
Nicole Marie Ely, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 237 Mulberry St, Shallotte, NC 28470
Phone: 910-754-8858    
Nancy Lee Murdock, DNP FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4748 Main Street, Shallotte, NC 28470
Phone: 910-754-2273    Fax: 910-754-2254
Cara Lyne-ann Vitadamo, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470
Phone: 910-754-4515    Fax: 910-341-5779

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