Individual provider Active NPI

Tara Jones, SLPA

  • Speech-Language Assistant
  • Ventura, CA
National Provider Identifier
1205252590
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2554 Issued in CA
Practice address
1234 E Main St
Ventura, CA 93001-3104
Phone
(805) 667-8200
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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 2554 CA Primary

Addresses

Primary practice location

1234 E Main St
Ventura, CA 93001-3104

Mailing address

1234 E Main St
Ventura, CA 93001-3104
Phone (805) 667-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212001418 ID Practitioner - Qualified Speech Language Pathologist 4385982677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleo Speech and Language, LLC Current Accepting new patients
MHD Therapies, PLLC CurrentSince Aug 23, 2018 Accepting new patients
Children's Therapy Network, Inc. Past Accepting new patients
Children's Therapy Network, Inc. Past Accepting new patients

Locations

36 Professional Plz
Ste 110
Rexburg, ID 83440
Phone (208) 359-9570

777 Beachway Dr
Ste 100
Indianapolis, IN 46224
Phone (765) 748-4096

Organizations & group practices 4

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1205252590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013104",
            "telephone_number": "805-667-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013104",
            "telephone_number": "805-667-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TARA",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.