Individual provider Active NPI

Tamber Marie Taskonak, MS, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1003140799
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10277 Issued in FL
Practice address
1130 Northwest 14TH Street
Miami, FL 33136
Phone
(305) 243-4000
Fax
(305) 243-1283
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ 4567 FL
Speech-Language Pathologist 235Z00000X SA10277 FL Primary

Addresses

Primary practice location

1130 Northwest 14TH Street
Miami, FL 33136

Mailing address

1130 Northwest 14TH Street
Miami, FL 33136
Phone (305) 243-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615001591 FL Practitioner - Qualified Speech Language Pathologist 0941668487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ 4567FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Speech-Language Pathologist CurrentSince Jun 1, 2023 Accepting new patients
University of Miami CurrentSince Jun 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

1192 E Newport Center Dr
Ste 100
Deerfield Beach, FL 33442
Phone (305) 243-6006

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8932 SW 97th Ave
Ste N
Miami, FL 33176
Phone (305) 243-6006

1120 NW 14th St
Fl 5
Miami, FL 33136
Phone (305) 243-2000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1003140799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NORTHWEST 14TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-243-2000",
            "fax_number": "305-243-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NORTHWEST 14TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-243-4000",
            "fax_number": "305-243-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKONAK",
        "first_name": "TAMBER",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 4567",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.