Tara Ebling, MA, CFY-SLP

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

NONE YET HELD - CFY Issued in PA

Practice address

1011 Berk Rd
Leesport, PA 19533-8705

Phone

(610) 376-4841

NPI assigned

May 3, 2011

Last updated

May 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1346532868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1495",
            "city": "READING",
            "state": "PA",
            "postal_code": "196031495",
            "telephone_number": "610-376-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BERK RD",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338705",
            "telephone_number": "610-376-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLING",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "MA, CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "NONE YET HELD - CFY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Leesport, PA
• Providers in Leesport, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.