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TAMARA RAE LARK RD
NPI 1861382756
Dietitian, Registered in Livonia, MI

Active since July 03, 2025
14555 LEVAN RD STE 311, LIVONIA, MI 48154(734) 655-2692 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tamara Rae Lark Rd NPPES

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

TAMARA RAE LARK RD (NPI 1861382756) is an individual dietitian, registered in Livonia, Michigan and active in the NPI registry since July 2025. She maintains a secondary practice location in Howell.

NPPES Registry Identity

NPI1861382756
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTAMARA RAE LARKCredential: RD
Location Address14555 LEVAN RD STE 311Livonia, MI 48154-5085
Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Phone(734) 655-2692
Sole ProprietorNo
Enumeration DateJuly 3, 2025
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1861382756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
14555 LEVAN RD STE 311, Livonia, MI 48154
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Secondary Practice Location 1

Location 1620 Byron Rd Ste 1200Howell, MI 48843-1002 · Phone (517) 545-6011 · Fax (517) 545-5122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Rae Lark Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Tamara Lark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iha Olma Specialty 1 LLC
0.3 mi
Surgical Critical Care
36475 FIVE MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • 74 clinicians in this Medicare group
NPI 1114667144 (734) 655-2692
Iha Health Services Corporation
3.8 mi
Pediatrics
990 W ANN ARBOR TRL, SUITE 210
Plymouth, MI 48170
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
NPI 1124175724 (734) 455-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MOLLY BELISLE WHALEN MD
Surgery
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Wayne County (734) 655-2692
KATHRYN ROBERTS
Dietitian, Registered
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Wayne County (734) 655-2692
MS. LAUREL GOTHA PA
Physician Assistant
14555 LEVAN RD STE 311, SUITE 311
LIVONIA, MI 48154
Wayne County (734) 655-2692
EMILY HELENE PLANTE RD
Dietitian, Registered
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Wayne County (734) 655-2692
REBECCA ANN REHBERG NP
Nurse Practitioner (Acute Care)
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Wayne County (734) 655-2692

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 Tamara Lark's NPI number?

The NPI number for Tamara Lark is 1861382756. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Tamara Lark located?

Tamara Lark practices at 14555 Levan Rd Ste 311, Livonia, MI 48154. The listed phone number is (734) 655-2692.

What is Tamara Lark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tamara Lark enrolled in Medicare?

Yes. Tamara Lark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tamara Lark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Lark reassigns Medicare benefits to 2 organizations: Iha Olma Specialty 1 LLC (Livonia, MI) and Iha Health Services Corporation (Plymouth, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Lark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Lark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tamara Lark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Lark was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.