Active NPI
Tiffany Recor, M.A. CCC-SLP
- Speech-Language Pathologist
- Beverly, MA
National Provider Identifier
1194137539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 55 Tozer Rd
Beverly, MA 01915-5515 - Phone
- (518) 420-6324
- Fax
- (518) 882-0282
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
55 Tozer Rd
Beverly, MA 01915-5515
Mailing address
14 Pine Ridge Dr
Morrisonville, NY 12962-9797
Phone (518) 420-6324
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": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1194137539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PINE RIDGE DR",
"city": "MORRISONVILLE",
"state": "NY",
"postal_code": "129629797",
"telephone_number": "518-420-6324",
"fax_number": "518-882-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 TOZER RD",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155515",
"telephone_number": "518-420-6324",
"fax_number": "518-882-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECOR",
"first_name": "TIFFANY",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.