Individual provider Active NPI

Tara Susanne Pietrobono, D.P.M.

  • Hearing Instrument Specialist
  • Greenville, SC
National Provider Identifier
1841448925
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS0534 Issued in SC
Practice address
1 Creekview CT Ste a
Greenville, SC 29615-4839
Phone
(864) 252-4889
Fax
(864) 252-4254
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 577 SC
Hearing Instrument Specialist 237700000X HAS0534 SC Primary

Addresses

Primary practice location

1 Creekview CT Ste a
Greenville, SC 29615-4839

Mailing address

1 Creekview CT
Greenville, SC 29615-4839
Phone (864) 252-4889

Other practice location 1

1516 Calhoun St
Columbia, SC 29201-2607
Phone (803) 254-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
577SCMDFoot & Ankle Surgery Podiatrist
HAS0534SCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Centers of South Carolina Past Accepting new patients
Orthopaedic Associates USA, PA Foot & Ankle Surgery Past Accepting new patients
Columbia Foot Clinic Foot & Ankle Surgery Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1841448925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154839",
            "telephone_number": "864-252-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CREEKVIEW CT STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154839",
            "telephone_number": "864-252-4889",
            "fax_number": "864-252-4254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012607",
            "country_code": "US",
            "telephone_number": "803-254-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETROBONO",
        "first_name": "TARA",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "577",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HAS0534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.