Active NPI
Tara K Jaramillo, SLP
- Speech-Language Pathologist
- Socorro, NM
National Provider Identifier
1063553360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1487
- Practice address
- 1115 N California St
Socorro, NM 87801-4265 - Phone
- (575) 838-0800
- Fax
- (575) 838-3999
- NPI assigned
- Feb 9, 2007
- Last updated
- May 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1487 | NM | Primary |
Addresses
Primary practice location
1115 N California St
Socorro, NM 87801-4265
Mailing address
PO Box 642
Socorro, NM 87801-0642
Phone (575) 838-0800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88722520 | Other | NM | MEDICAID PCO |
| D4005 | Medicaid | NM | |
| 00P3051 | Other | NM | MEDICAID-ASC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Outcomes, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1115 N California St
Socorro, NM 87801
Phone (505) 838-1100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Personal Care Attendant
- Socorro, NM
- NPI 1770624348
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1063553360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878010642",
"telephone_number": "575-838-0800",
"fax_number": "575-838-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N CALIFORNIA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014265",
"telephone_number": "575-838-0800",
"fax_number": "575-838-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "TARA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PCO",
"identifier": "88722520",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4005",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-ASC",
"identifier": "00P3051",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.