Tara Eileen Fernalld, LAC, DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3448 Issued in NY

Practice address

135 Celia CT
Alpharetta, GA 30022-7153

Phone

(678) 793-3834

NPI assigned

Mar 4, 2012

Last updated

Aug 15, 2023By 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 2

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": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1710251004",
    "addresses": [
        {
            "country_code": "AE",
            "country_name": "United Arab Emirates",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "UNIT 33100",
            "city": "APO",
            "state": "OVERSEAS MILITARY TREATMENT FACILITY",
            "postal_code": "09180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CELIA CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227153",
            "telephone_number": "678-793-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNALLD",
        "first_name": "TARA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LAC, DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3448",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabnam Feizi
• Diane Johnson Felder, M.D.
• Fergus Affiliates, LLC (UroAnswers)
• Mitchell Ray Ferguson, EDD LPC NCC
• Tamara Ferguson, BSN
• Kathryn Anne Jenkins Ferreira, CCC-A, AUD
• Elizabeth Houseman Fester, MS-CCC-SLP
• Kristen Cumuze Feutral, MPT
• Jonathan Caleb Fields
• Joseph Fields

• Acupuncturist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.