Active NPI
Cynthia Vestal Tierney, BOCO
- Orthotist
- Winston Salem, NC
National Provider Identifier
1912289216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- Tierney Orthotics and Prosthetics Inc
1345 Westgate Center Dr, Ste B
Winston Salem, NC 27103 - Phone
- (336) 546-7165
- Fax
- (866) 403-2483
- NPI assigned
- Sep 13, 2011
- Last updated
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | |||
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
Tierney Orthotics and Prosthetics Inc
1345 Westgate Center Dr, Ste B
Winston Salem, NC 27103
Mailing address
1345 Westgate Center Dr. Ste B
Winston Salem, NC 27103
Phone (336) 546-7165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795524 | Medicaid | NC |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tierney Orthotics and Prosthetics Inc. | Orthotist | Past | Accepting new patients |
| Tierney Orthotics and Prosthetics Inc. | Orthotist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Winston Salem, NC
- NPI 1497158554
Orthotist
-
- Prosthetic/Orthotic Supplier
- High Point, NC
- NPI 1992641419
-
- Prosthetic/Orthotic Supplier
- North Wilkesboro, NC
- NPI 1396472908
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1912289216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 WESTGATE CENTER DR. STE B",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-546-7165",
"fax_number": "866-403-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TIERNEY ORTHOTICS AND PROSTHETICS INC",
"address_2": "1345 WESTGATE CENTER DR, STE B",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-546-7165",
"fax_number": "866-403-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "CYNTHIA",
"middle_name": "VESTAL",
"credential": "BOCO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795524",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.