Tina Melamed Jaremko, PHD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112719 Issued in TX

Practice address

3310 S Broadway Ave Ste 100
Tyler, TX 75701-7851

Phone

(903) 781-1832

NPI assigned

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Cecile Melamed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bo Keeling, PLLC

  • Physical Therapist
  • Tyler, TX
  • NPI 1639526783

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1013764828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 S CHILTON AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015316",
            "telephone_number": "832-594-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017851",
            "telephone_number": "903-781-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAREMKO",
        "first_name": "TINA",
        "middle_name": "MELAMED",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "MELAMED",
            "middle_name": "CECILE",
            "credential": "PHD, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jevin Kainikkara James, MD
• Monique James
• Alexander Blake Jamieson II, LVN
• Marium Janicke
• Janus Children Services Inc
• Samakti Jariwala
• Shamonica Denise Jarju
• Ann O Jarrel, LCSW
• Danielle Zoya Jaul, DDS
• Monica Jauregui, MD

• Speech-Language Pathologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.