Individual provider Active NPI

Tara Marie Strickland, CRNA

  • Certified Registered Nurse Anesthetist
  • Mooresville, NC
National Provider Identifier
1184809451
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
078254 Issued in NC
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

Updated by the provider on Jul 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8053115MedicaidNC

Other names 1

  • Miss Tara Marie Kennerly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000102 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800971789 Reassigns benefits to 5 organizations

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
Gateway Anesthesia LLCGroup PAC ID 6002966694, 8 clinicians
Cabarrus Gastroenterology Associates PLLCGroup PAC ID 9436059649, 51 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
1920NCMDMarriage & Family Therapist
078254NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Anesthesiology Associates, P.a. CurrentSince Dec 1, 2020 Accepting new patients
Iredell Memorial Hospital Incorporated CurrentSince Jun 1, 2025 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Iredell Memorial Hospital, Incorporated Current Accepting new patients
Lake Norman Anesthesia Associates CurrentSince Feb 11, 2013 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Iredell Memorial Hospital, Incorporated CurrentSince Jun 1, 2025 Accepting new patients
Gateway Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 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 PastSince Jun 30, 2024 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.

View all 13

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.

Verify at the official NPI Registry.