Individual provider Active NPI

Tatiana Virginia Ledoux

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1093497489
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17874 Issued in OR
Practice address
8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126
Phone
(877) 755-8940
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17874 OR Primary

Addresses

Primary practice location

8625 SW Cascade Ave Ste 320
Beaverton, OR 97008-7126

Mailing address

15560 SW Ivory St
Beaverton, OR 97007-9453
Phone (760) 791-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260414002135 CA Practitioner - Qualified Speech Language Pathologist 3375019706 Reassigns benefits to 1 organization
I20260414002259 OR Practitioner - Qualified Speech Language Pathologist 3375019706 Reassigns benefits to 1 organization
I20260414002399 WA Practitioner - Qualified Speech Language Pathologist 3375019706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17874ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidscare Home Health of Oregon LLC PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 3

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1093497489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15560 SW IVORY ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079453",
            "telephone_number": "760-791-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 SW CASCADE AVE STE 320",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087126",
            "telephone_number": "877-755-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "TATIANA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.