Active NPI
Covenantal Health PLLC
- Primary Care Nurse Practitioner
- Monroe, NC
National Provider Identifier
1194530642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- COVENANTAL HEALTH PLLC
- Practice address
- 701 E Roosevelt Blvd Ste 800a
Monroe, NC 28112-5187 - Phone
- (704) 776-4048
- Fax
- (877) 497-4784
- NPI assigned
- Feb 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tarra Marsh Boyd, DNP,FNP-BC
- Title
- Ceo
- Phone
- (704) 891-6763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
701 E Roosevelt Blvd Ste 800a
Monroe, NC 28112-5187
Mailing address
PO Box 278
Waxhaw, NC 28173-1043
Phone (704) 776-4048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2324991 | Covenantal Health, PLLC | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Monroe, NC
- NPI 1649762451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1194530642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281731043",
"telephone_number": "704-776-4048",
"fax_number": "877-497-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E ROOSEVELT BLVD STE 800A",
"city": "MONROE",
"state": "NC",
"postal_code": "281125187",
"telephone_number": "704-776-4048",
"fax_number": "877-497-4784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-11",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "TARRA",
"authorized_official_middle_name": "MARSH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-891-6763",
"authorized_official_credential": "DNP,FNP-BC"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.