Individual provider Active NPI

Melissa Tanguma-Ream, M.A., SLP

  • Speech-Language Pathologist
  • Fresno, CA
National Provider Identifier
1164875480
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24292 Issued in CA
Practice address
1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864
Phone
(559) 970-8277
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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 24292 CA Primary

Addresses

Primary practice location

1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864

Mailing address

1752 E Bullard Ave Ste 101
Fresno, CA 93710-5864
Phone (559) 970-8277

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
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1164875480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 E BULLARD AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105864",
            "telephone_number": "559-970-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 E BULLARD AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105864",
            "telephone_number": "559-970-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUMA-REAM",
        "first_name": "MELISSA",
        "credential": "M.A., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.