Individual provider Active NPI

Sarai Jeniffer Rodriguez Tarin, SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1033692264
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116229 Issued in TX
Practice address
109 S Festival Dr
El Paso, TX 79912-5801
Phone
(915) 842-1788
Fax
(915) 842-1778
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 116229 TX Primary

Addresses

Primary practice location

109 S Festival Dr
El Paso, TX 79912-5801

Mailing address

109 S Festival Dr
El Paso, TX 79912-5801
Phone (915) 842-1788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116229TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RGTG, LLC Single Specialty PastSince Dec 27, 2020 Accepting new patients
Therapool Inc. PastSince Nov 17, 2019 Accepting new patients

Organizations & group practices 2

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1033692264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S FESTIVAL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125801",
            "telephone_number": "915-842-1788",
            "fax_number": "915-842-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S FESTIVAL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125801",
            "telephone_number": "915-842-1788",
            "fax_number": "915-842-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ TARIN",
        "first_name": "SARAI",
        "middle_name": "JENIFFER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.