Active NPI
Tara Marie Strickland, CRNA
- Certified Registered Nurse Anesthetist
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 078254
- Practice address
- 146 Medical Park Rd 108
Mooresville, NC 28117-8529 - Phone
- (704) 662-0877
- Fax
- (704) 662-0875
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 158606 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 078254 | NC | Primary |
Addresses
Primary practice location
146 Medical Park Rd 108
Mooresville, NC 28117-8529
Mailing address
146 Medical Park Rd 108
Mooresville, NC 28117-8529
Phone (704) 662-0877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053115 | Medicaid | NC |
Other names 1
- Miss Tara Marie Kennerly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Negateway Nect
Concord, NC 28025-2440
Phone (704) 920-7020
1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 783-1840
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1920 | NC | MD | Marriage & Family Therapist |
| 078254 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Current | Accepting new patients | |
| Cabarrus Gastroenterology Associates, PLLC | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Lake Norman Anesthesia Associates | Current | Accepting new patients | |
| Cabarrus Gastroenterology Associates, PLLC | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cabarrus Gastroenterology Associates, PLLC | Past | Accepting new patients | |
| Cabarrus Gastroenterology Associates, PLLC | Past | Accepting new patients | |
| Novant Health Rowan Endoscopy Center, LLC | Past | Accepting new patients | |
| Allcare Clinical Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
1070 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 783-1840
9965 Poplar Tent Rd
Concord, NC 28027
Phone (704) 783-1840
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876
114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877
510 Corporate Cir
#1000
Salisbury, NC 28147
Phone (704) 783-1840
510 Corporate Cir
#1001
Salisbury, NC 28147
Phone (704) 783-1840
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Concord, NC
- NPI 1780790592
-
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1548401789
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1548230204
-
- Specialist
- Mooresville, NC
- NPI 1386753457
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Gastroenterology Physician
- Salisbury, NC
- NPI 1154008142
-
- Psychiatric Hospital
- Statesville, NC
- NPI 1417783705
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- Certified Registered Nurse Anesthetist
- Asheville, NC
- NPI 1437286291
Nurse Anesthetist, Certified Registered
-
- Endoscopy Clinic/Center
- Concord, NC
- NPI 1346308517
-
- Endoscopy Clinic/Center
- Concord, NC
- NPI 1861059172
-
- Endoscopy Clinic/Center
- Salisbury, NC
- NPI 1982381976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1184809451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MEDICAL PARK RD 108",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178529",
"telephone_number": "704-662-0877",
"fax_number": "704-662-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MEDICAL PARK RD 108",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178529",
"telephone_number": "704-662-0877",
"fax_number": "704-662-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLAND",
"first_name": "TARA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "158606",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "078254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053115",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "KENNERLY",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.