Tara Bergstedt, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8625 Issued in OH

Practice address

74 W William St
Delaware, OH 43015-2339

Phone

(740) 833-2384

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2022.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1154722007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152339",
            "telephone_number": "740-833-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152339",
            "telephone_number": "740-833-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTEDT",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Bello, DDS
• Drew Jackson Belpedio, DPM
• Seth Bendo, M.D.
• Benjamin J. Kwok, DDS, Ms, LLC
• Landon Bentz
• Marilyn S. Berquist, RN
• Douglas Allan Berry
• Stuart Berry, MSW, LISW
• Lauryn Berwanger, P.T.A
• Best of Friends Home Care Services

• All providers in Delaware, OH
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.