Individual provider Active NPI

Kaye Lene Tagaban, SLPA

  • Speech-Language Assistant
  • Yuma, AZ
National Provider Identifier
1053634741
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA6296 Issued in AZ
Practice address
600 S 21St Ave
Yuma, AZ 85364-2727
Phone
(928) 502-8050
Fax
(928) 502-8082
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA6296 AZ Primary

Addresses

Primary practice location

600 S 21St Ave
Yuma, AZ 85364-2727

Mailing address

450 W 6TH St
Yuma, AZ 85364-2973
Phone (928) 502-4300

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
SLPA6296AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Elementary School District One Past Accepting new patients

Organizations & group practices 1

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1053634741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W 6TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642973",
            "telephone_number": "928-502-4300",
            "fax_number": "928-502-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 21ST AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642727",
            "telephone_number": "928-502-8050",
            "fax_number": "928-502-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGABAN",
        "first_name": "KAYE",
        "middle_name": "LENE",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.