Organization Active NPI

Kramerica LLC

  • Speech-Language Pathologist
  • Monroe, LA
National Provider Identifier
1205442449
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KRAMERICA LLC
Practice address
2399 Ferrand St Ste H
Monroe, LA 71201-3208
Phone
(318) 460-5150
NPI assigned
Sep 22, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Michael Nicholas Tarantino, SLPNPI 1659986602
Title
Owner
Phone
(318) 460-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2399 Ferrand St Ste H
Monroe, LA 71201-3208

Mailing address

2399 Ferrand St Ste H
Monroe, LA 71201-3208
Phone (318) 460-5150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201022001777 LA Part B Supplier - Clinic/Group Practice 5092135582 Receives reassigned benefits from 2 practitioners
Practice locations: Bossier City, LA; West Monroe, LA

National Provider Directory

National Provider Directory

Locations

2399 Ferrand St
Ste H
Monroe, LA 71201
Phone (318) 372-1796

203 Lincoln St
West Monroe, LA 71291
Phone (318) 460-5150

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1205442449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 FERRAND ST STE H",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013208",
            "telephone_number": "318-460-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 FERRAND ST STE H",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013208",
            "telephone_number": "318-460-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-460-5150",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.