TARA MARCELL PETTIFORD
NPI 1356956593
Specialist in Baltimore, MD

Q: What is Tara Pettiford's NPI number?

The NPI number for Tara Pettiford is 1356956593. It was assigned to this individual provider in the NPPES registry on September 14, 2020. The provider is also known as Tara Marcell Townes.

Q: What is Tara Pettiford's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Pettiford was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2020

3530 E NORTHERN PKWY, BALTIMORE, MD 21206(443) 858-7705 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tara Marcell Pettiford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA MARCELL PETTIFORD (NPI 1356956593) is an individual specialist in Baltimore, Maryland and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1356956593

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameTARA MARCELL PETTIFORD

Location Address3530 E NORTHERN PKWYBaltimore, MD 21206-1632

Mailing Address3530 E Northern PkwyBaltimore, MD 21206-1632 · (443) 858-7705

Phone(443) 858-7705

Sole ProprietorNo

Enumeration DateSeptember 14, 2020

NPPES CertifiedSeptember 14, 2020

✔ NPI 1356956593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3530 E NORTHERN PKWY, Baltimore, MD 21206

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Other Names 1

Former Name (1)Tara Marcell Townes

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA HOUSE OF STYLEZ

Prosthetic/Orthotic Supplier

3530 E NORTHERN PKWY
BALTIMORE, MD 21206

Baltimore City (443) 858-7705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Pettiford's NPI number?

The NPI number for Tara Pettiford is 1356956593. It was assigned to this individual provider in the NPPES registry on September 14, 2020. The provider is also known as Tara Marcell Townes.

Where is Tara Pettiford located?

Tara Pettiford practices at 3530 E Northern Pkwy, Baltimore, MD 21206. The listed phone number is (443) 858-7705.

What is Tara Pettiford's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tara Pettiford was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.