Tara Ann Merrill, MS, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

1409 Yanceyville Street
Suite B
Greensboro, NC 27405-6961

Phone

(336) 537-3901

Fax

(336) 893-9537

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tara Ann Roy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Tierney Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • North Wilkesboro, NC
  • NPI 1396472908

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1952186306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WESTGATE CENTER DRIVE",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033041",
            "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": "1409 YANCEYVILLE STREET",
            "address_2": "SUITE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056961",
            "telephone_number": "336-537-3901",
            "fax_number": "336-893-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "TARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-08-28",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ROY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MS, CPO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meriweather Home Nursing, Inc
• Meriweather Home Nursing, Inc
• Joanna Smock Meroth, M.ED.
• Chadwick Thomas Merrell, D.M.D.
• David Joseph Merrell, MD
• Debra Rose Merritt, CRNA
• Madison Bahiyyih Merritt, LCSW-A
• Tyler Lynn Mersnick, MS, OTR/L
• Zachary Merz, PHD
• Elizabeth H Messick

• Prosthetist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.