Organization Active NPI

Covenantal Health PLLC

  • Primary Care Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1194530642
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Tarra Marsh Boyd, DNP,FNP-BCNPI 1649762451
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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250822000676 NC Part B Supplier - Clinic/Group Practice 9931609138 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2324991Covenantal Health, PLLC701 Roosevelt Blvd East, Suite 800-a, Monroe, NC 28112Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.