Active NPI
Tara Elizabeth Graziadei, CCC-SLP
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1417231036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017641
- Practice address
- 3 Spartan Way
Rochester, NY 14624-1448 - Phone
- (585) 278-4121
- NPI assigned
- Sep 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017641 | NY | Primary |
Addresses
Primary practice location
3 Spartan Way
Rochester, NY 14624-1448
Mailing address
3 Spartan Way
Rochester, NY 14624-1448
Phone (585) 278-4121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2323232323 | Medicaid | NY |
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 |
|---|---|---|---|
| 017641 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1417231036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SPARTAN WAY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146241448",
"telephone_number": "585-278-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SPARTAN WAY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146241448",
"telephone_number": "585-278-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIADEI",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2323232323",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
- Grayson Chiropractic Assoc
- Daniel Francis Grayson, DC
- Lakeisha Grayson, LPN
- Shameal Deanna Grayson, L.P.N
- Tiffany Grayson, R.N.
- Grace Marlene Graziano, OTR
- Kelly R. Grazier, D.C.
- Patricia Graziose, DOCTOR OF AUDIOLOGY
- Great Beginnings Family Center
- Greater Rochester Area Community Experience LCSW PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.