INNISS M TARAWOLLIE
NPI 1386306231
Prosthetic/Orthotic Supplier in Indianapolis, IN

Active since October 07, 2021
5108 W 38TH ST, INDIANAPOLIS, IN 46254(317) 760-7180 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2024, Oct 7, 2021 (2 updates tracked since 2021).

About Inniss M Tarawollie NPPES

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

INNISS M TARAWOLLIE (NPI 1386306231) is an individual prosthetic/orthotic supplier provider in Indianapolis, Indiana, licensed in Indiana (BC20501718) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1386306231
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameINNISS M TARAWOLLIE
Location Address5108 W 38TH STIndianapolis, IN 46254-3326
Mailing Address5108 W 38th StIndianapolis, IN 46254-3326 · (317) 760-7180
Sole ProprietorYes
Enumeration DateOctober 7, 2021
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1386306231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in IN · BC20501718
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
5108 W 38TH ST, Indianapolis, IN 46254

Other Providers at the Same Location NPPES

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

Non-emergency Medical Transport (VAN)
5108 W 38TH ST
INDIANAPOLIS, IN 46254

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 Inniss Tarawollie's NPI number?

The NPI number for Inniss Tarawollie is 1386306231. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Inniss Tarawollie located?

Inniss Tarawollie practices at 5108 W 38th St, Indianapolis, IN 46254. The listed phone number is (317) 760-7180.

What is Inniss Tarawollie's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Inniss Tarawollie was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.