Cari M. Tellis, PH.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006394L Issued in PA

Practice address

100 N Wilkes Barre Blvd Ste 409
Wilkes Barre, PA 18702-5235

Phone

(570) 406-9083

Fax

(570) 846-0141

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Performing Arts Training Academy, LLC

  • Speech-Language Pathologist
  • Wilkes Barre, PA
  • NPI 1811449572
  Medicare reassignment NPD Authorized official
• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • Richmond, KY
  • NPI 1568452290
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1336217942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040379",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WILKES BARRE BLVD STE 409",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025235",
            "telephone_number": "570-406-9083",
            "fax_number": "570-846-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLIS",
        "first_name": "CARI",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006394L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Marie Taylor, CRNP, MSN, FNP-C
• Moriah M Teed
• Carol Teets, CRNP
• Melissa Lynn Teetsel, RN
• Sarah Nicole Telliard, MD
• Eileen Tengco, D.O.
• Victoria Anne Terascavage, LPC (LICENSED PROFES
• Mia Terrana, DO
• The Fitness Depot, Inc
• The Meadows at East Mountain-Barre for Nursing and Rehabilitation LLC

• Speech-Language Pathologist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.