Individual provider Active NPI

Tara Grace Pfeiffer, SLP-ASSISTANT

  • Speech-Language Assistant
  • Tomball, TX
National Provider Identifier
1134853138
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
42517 Issued in TX
Practice address
25420 Kuykendahl Rd Ste F300
Tomball, TX 77375-3443
Phone
(832) 356-5152
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 42517 TX Primary

Addresses

Primary practice location

25420 Kuykendahl Rd Ste F300
Tomball, TX 77375-3443

Mailing address

23754 Hiddenbriar Loop
Tomball, TX 77375-5663
Phone (918) 630-9779

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
42517TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Speech Therapy, LLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

25420 Kuykendahl Rd
Ste F300
Tomball, TX 77375
Phone (509) 999-4481

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1134853138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23754 HIDDENBRIAR LOOP",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755663",
            "telephone_number": "918-630-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 KUYKENDAHL RD STE F300",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753443",
            "telephone_number": "832-356-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "TARA",
        "middle_name": "GRACE",
        "credential": "SLP-ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.