Jacqueline Tan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7821 Issued in MA

Practice address

13 Main Street
Belchertown, MA 01007

Phone

(413) 323-0550

Fax

(413) 323-0555

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TDS Speech Pathology Associates

  • Speech-Language Pathologist
  • Belchertown, MA
  • NPI 1508916388
  NPD (past)

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1427384197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MAIN STREET",
            "address_2": "PO BOX 1081",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "01007",
            "telephone_number": "413-323-0550",
            "fax_number": "413-323-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MAIN STREET",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "01007",
            "telephone_number": "413-323-0550",
            "fax_number": "413-323-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart T Soar, M.D.
• Social Work Staffing Solutions & Services, Inc.
• Bonnie R. Strickland, PH.D.
• Swift River Chiropractic
• Swift River Medical Associates LLC
• Lisa Marie Tattersall
• TDS Speech Pathology Associates
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #435)
• Barbara Jeanne Tomlinson, PT DC
• Town of Belchertown (Belchertown EMS)

• Speech-Language Pathologist in Belchertown, MA
• Providers in Belchertown, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.