Active NPI
Tara L Weissert, CCC-SLP
- Speech-Language Pathologist
- Monroeville, PA
National Provider Identifier
1215170279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL011328
- Practice address
- 2589 Mosside Blvd
Monroeville, PA 15146-3510 - Phone
- (412) 372-3682
- NPI assigned
- Apr 7, 2009
- Last updated
- Feb 1, 2017
- 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 | SP. 7752 | OH | |
| Speech-Language Pathologist | 235Z00000X | SL011328 | PA | Primary |
Addresses
Primary practice location
2589 Mosside Blvd
Monroeville, PA 15146-3510
Mailing address
2589 Mosside Blvd
Monroeville, PA 15146-3510
Phone (412) 372-3682
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP. 7752 | OH | MD | Speech-Language Pathologist |
| SL011328 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1215170279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2589 MOSSIDE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463510",
"telephone_number": "412-372-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2589 MOSSIDE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463510",
"telephone_number": "412-372-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSERT",
"first_name": "TARA",
"middle_name": "L",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP. 7752",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL011328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
- Carol Weinstock, CRNA
- Elliott Weinstock, MD
- Maxine Judy Weir, RPH
- Edward Saul Weisberg, MD
- Allison Weiss
- Kristin Wenthen, MS
- Cassandra Lynn Wert, R.D., L.D.N.
- West Penn Allegheny Health System Inc (Forbes Hospital)
- West Penn Allegheny Health System Inc. (Forbes Regional Hospital)
- West Penn Allegheny Health System Inc. (Forbes Regional Hospital-Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.