1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TARA NICOLE POTRATZ DO
NPI 1609670736
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 01, 2025PECOS Enrolled
800 ROSE ST RM M-53, LEXINGTON, KY 40536(859) 323-5083(859) 323-8056 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 15, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Tara Nicole Potratz Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA NICOLE POTRATZ DO (NPI 1609670736) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609670736
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA NICOLE POTRATZCredential: DO
Location Address800 ROSE ST RM M-53Lexington, KY 40536-0293
Mailing Address800 Rose St Rm M-53Lexington, KY 40536-0293 · (859) 323-5083 · Fax (859) 323-8056
Phone(859) 323-5083
Fax(859) 323-8056
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1609670736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 ROSE ST RM M-53, Lexington, KY 40536
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Nicole Potratz Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES DANIEL MOORE M.D.
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5908
STEPHEN ZACHARY HARRETT MD
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
JAVED OSMANI DO
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
DR. ETHAN F WELLS MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
MARTIN HAOYUAN YANG
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
SETH STEARLEY MD
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5908
DR. NICHOLAS MANCUSO MD
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
OLIVIA SKY MURPHY MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Potratz's NPI number?

The NPI number for Tara Potratz is 1609670736. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Tara Potratz located?

Tara Potratz practices at 800 Rose St Rm M-53, Lexington, KY 40536. The listed phone number is (859) 323-5083.

What is Tara Potratz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tara Potratz enrolled in Medicare?

Yes. Tara Potratz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Potratz was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.