Virginia M. Tate

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP7392 Issued in AZ

Practice address

2200 Havasupai Blvd
Lake Havasu City, AZ 86403-3122

Phone

(928) 505-6938

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1184906539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HARRAH WAY APT 334",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864030820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAVASUPAI BLVD",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033122",
            "telephone_number": "928-505-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "VIRGINIA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Joy Swanson, MED, LPC
• Frank Palmer Sweet, N.M.D.
• Rodolphe Taby, M.D.
• Daniel W Talley, D.C.
• Sarah J Tarr, RN
• Tiffany Michelle Taylor, FNP
• Teff Associates PLC
• Krystal Jade Telnes, FNP-BC
• Teresa J Tibbetts M D LLC
• Terrence P Gleason MD LLC

• Speech-Language Pathologist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.