TANISHA GODBOLT
NPI 1740871755
Prosthetic/Orthotic Supplier in Charlotte, NC

Q: What is Tanisha Godbolt's NPI number?

The NPI number for Tanisha Godbolt is 1740871755. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Q: What is Tanisha Godbolt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanisha Godbolt was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 02, 2021

9147 MOSS COVE CT, CHARLOTTE, NC 28227(832) 794-7264 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2022, Feb 23, 2021, Feb 2, 2021 (3 updates tracked since 2021).

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About Tanisha Godbolt NPPES

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

TANISHA GODBOLT (NPI 1740871755) is an individual prosthetic/orthotic supplier provider in Charlotte, North Carolina, licensed in Connecticut (054857) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1740871755

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameTANISHA GODBOLT

Location Address9147 MOSS COVE CTCharlotte, NC 28227-8703

Mailing Address9147 Moss Cove CtCharlotte, NC 28227-8703 · (832) 794-7264

Phone(832) 794-7264

Sole ProprietorYes

Enumeration DateFebruary 2, 2021

Last NPPES UpdateMay 19, 20223 updates tracked since enumeration

NPPES CertifiedMay 19, 2022

✔ NPI 1740871755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in CT · 054857

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.

9147 MOSS COVE CT, Charlotte, NC 28227

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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 Tanisha Godbolt's NPI number?

The NPI number for Tanisha Godbolt is 1740871755. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Tanisha Godbolt located?

Tanisha Godbolt practices at 9147 Moss Cove Ct, Charlotte, NC 28227. The listed phone number is (832) 794-7264.

What is Tanisha Godbolt'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 Tanisha Godbolt was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.