Bernadette Tarantino, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05366 Issued in NC

Practice address

165 Porters Neck Rd Ste 120
Wilmington, NC 28411-8048

Phone

(704) 747-7139

NPI assigned

Nov 12, 2014

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1760888176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PORTERS NECK RD STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118048",
            "telephone_number": "704-747-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PORTERS NECK RD STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118048",
            "telephone_number": "704-747-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "BERNADETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Tantilla
• Tar Baby Inc.
• Tar Heels Care
• Maria Tar, LCSW
• Tara Ferguson, PHD, PC
• Stacy Leigh Tarantino, LCMHC-A
• Tara Tarleton, PA-C
• Brianna Tarness, SWT
• Melany Tarr, LCSW
• Lindsey Bright Tarrant, MS-CCC/SLP

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.