Active NPI
Tarah Freant
- Speech-Language Pathologist
- Wentzville, MO
National Provider Identifier
1114272036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2012023504
- Practice address
- 711 Autumn Glen LN
Wentzville, MO 63385-3070 - Phone
- (636) 578-4127
- NPI assigned
- Jul 17, 2012
- Last updated
- Jul 17, 2012
- 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 | 2012023504 | MO | Primary |
Addresses
Primary practice location
711 Autumn Glen LN
Wentzville, MO 63385-3070
Mailing address
711 Autumn Glen LN
Wentzville, MO 63385-3070
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012023504 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Select Rehab St Louis LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Richmond Heights, MO
- NPI 1558403261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1114272036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 AUTUMN GLEN LN",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 AUTUMN GLEN LN",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853070",
"telephone_number": "636-578-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREANT",
"first_name": "TARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2012023504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
- Chad Ryan Fowler, MD
- Fox Med-Equip Services, Inc
- Holly Franer, OTR
- Kiara Franklin, LCSW
- Kristine S Franklin
- Fresenius Medical Care St. Charles, LLC (Fresenius Medical Care Wentzville)
- Fridley Chiropractic, LLC
- Amy Michelle Fridley, D.C.
- Chelsey Marie Friend, APRN, DNP
- Lowell Lawrence Fry Jr., LPC, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.