Tammy Marie Neely, C. PED., COA

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CPED3150 Issued in MI

Practice address

308 S Warren St
Pinconning, MI 48650-9428

Phone

(989) 737-6689

NPI assigned

Dec 26, 2010

Last updated

Dec 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293321600000",
    "number": "1578867024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S WARREN ST",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486509428",
            "telephone_number": "989-737-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S WARREN ST",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486509428",
            "telephone_number": "989-737-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "C. PED., COA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-26",
        "last_updated": "2010-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "MI",
            "license": "CPED3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla R Merithew
• Angela Marie Merso
• Rhonda Renee Mesecar, LPN
• Carissa Meyers, D.C.
• Christy Sue Morand, MA, LPC
• Northern Bay Ambulance and Rescue Service of Michigan (Northern Bay Ambulance)
• Randy J O'Laughlin, D.D.S.
• Michelle Marie Pickvet
• Pinconning Area Chiropractic Center Inc
• Pinconning Family Eye Care PC

• Pedorthist in Pinconning, MI
• Providers in Pinconning, MI by specialty
• Pedorthist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.