Individual provider Active NPI

Tara Elizabeth Strange, MS CF-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1306300017
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ8624 Issued in FL
Practice address
11512 Lake Mead Ave
Jacksonville, FL 32256-9680
Phone
(904) 652-5408
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ8624 FL Primary

Addresses

Primary practice location

11512 Lake Mead Ave
Jacksonville, FL 32256-9680

Mailing address

13 Circuit Dr
Rehoboth, MA 02769-2615
Phone (508) 252-5437

Other practice location 1

447 Atlantic Blvd
Atlantic Beach, FL 32233-4004
Phone (904) 652-5408

Other practice location 2

145 Hilden Rd
Ponte Vedra Beach, FL 32081-8401
Phone (904) 652-5408

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 Science

State licenses

LicenseStateTypeSpecialty
SZ8624FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1306300017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CIRCUIT DR",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692615",
            "telephone_number": "508-252-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-652-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Atlantic Beach",
            "state": "FL",
            "postal_code": "322334004",
            "country_code": "US",
            "telephone_number": "904-652-5408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Hilden Rd",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320818401",
            "country_code": "US",
            "telephone_number": "904-652-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.