MS. CHERRY COOPER TULL (NPI# 1477820090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477820090 |
| Entity Type | Individual |
| Full Name | MS. CHERRY COOPER TULL |
| Practice Address |
1400 Millgate Dr Suite A Winston Salem NC 27103-1338 |
| Practice Telephone | 3366596063 |
| Practice Fax Number | 3366596062 |
| Mailing Telephone | 3366596062 |
| Mailing Fax Number | 3366596063 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | CPED3362 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225000000X | Orthotic Fitter | CPED3362 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224L00000X | Pedorthist | CPED3362 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1400 MILLGATE DR SUITE A |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845478 | Granada Stephens Neil | Family Medicine | 1400 Millgate Dr, Suite D, Winston Salem, NC 27103-1338 | 2006-03-15 |
| 1043588890 | Instep Solutions,llc | Prosthetic/Orthotic Supplier | 1400 Millgate Dr, Suite A, Winston Salem, NC 27103-1338 | 2011-12-08 |
| 1376793869 | Sheila L. Cash | Massage Therapist | 1400 Millgate Dr, Suite A, Winston Salem, NC 27103-1338 | 2008-09-22 |
| 1528218021 | Expressooo Massageworx, LLC | Massage Therapist | 1400 Millgate Dr, Suite A, Winston Salem, NC 27103-1338 | 2008-09-22 |
| 1811925027 | Jennifer C Atkins | Counselor | 1400 Millgate Dr, Ste D, Winston Salem, NC 27103-1338 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780669234 | Donald Earl Griffin | Pedorthist | 3010 Maplewood Ave, Suite 116, Winston Salem, NC 27103-4019 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694704 | John Savel Deguzman | Pedorthist | 3206 Heritage Trade Dr Ste 114, Wake Forest, NC 27587-4487 | 2019-02-08 |
| 1548626252 | Advanced Orthopedic Products & Services, Inc. | Pedorthist | 2708 Wooten Blvd Sw, Suite B, Wilson, NC 27893-4428 | 2016-01-11 |
| 1497935464 | G Martin Edwards | Pedorthist | 54 Singing Pines Dr, Candler, NC 28715-9634 | 2007-11-07 |
| 1043780703 | Steven Daniel Fletcher | Pedorthist | 443 Daniels St, Raleigh, NC 27605-1359 | 2018-11-26 |
| 1356899843 | Charles Richard Follette | Pedorthist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2016-09-14 |
| 1487089116 | Karen H Rose | Pedorthist | 309-b Nash St W, Wilson, NC 27893 | 2013-09-12 |
| 1033451042 | Penny C Tripp | Pedorthist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2013-03-18 |
| 1043550148 | James Godfrey Mclelland Jr. | Pedorthist | 119 W Broad St, Statesville, NC 28677-5257 | 2013-02-26 |
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.