Individual provider Active NPI

Jamiee Elizabeth Tallarico

  • Speech-Language Pathologist
  • Niagara Falls, NY
National Provider Identifier
1053799882
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
026015-1 Issued in NY
Practice address
1001 11TH St
Niagara Falls, NY 14301-1201
Phone
(716) 278-8180
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 026015 NY
Speech-Language Pathologist 235Z00000X 026015-1 NY Primary

Addresses

Primary practice location

1001 11TH St
Niagara Falls, NY 14301-1201

Mailing address

1337 Garrett Ave
Niagara Falls, NY 14305-1176
Phone (716) 696-0501

Other practice location 1

603 Division St
North Tonawanda, NY 14120-4461
Phone (716) 692-1049

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
026015NYMDDental Hygienist
026015-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1053799882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GARRETT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051176",
            "telephone_number": "716-696-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 11TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011201",
            "telephone_number": "716-278-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Division St",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141204461",
            "country_code": "US",
            "telephone_number": "716-692-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLARICO",
        "first_name": "JAMIEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026015",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026015-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.