Individual provider Active NPI

Anne Marie Tamburello

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1447787874
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007249 Issued in VA
Practice address
1028 Bells Rd Ste 111
Virginia Beach, VA 23451-5845
Phone
(757) 409-3495
NPI assigned
May 16, 2017
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 2202007249 VA Primary

Addresses

Primary practice location

1028 Bells Rd Ste 111
Virginia Beach, VA 23451-5845

Mailing address

1028 Bells Rd Ste 111
Virginia Beach, VA 23451-5845
Phone (757) 409-3495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410003154 VA Practitioner - Qualified Speech Language Pathologist 8022532050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortex Initiative LLCGroup PAC ID 7113441148, 6 clinicians

Practice addresses (Care Compare)

309 Aragona Blvd
Suite 107 108
Virginia Beach, VA 23462-2700
Phone (757) 780-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cortex Initiative LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

1457 Mount Pleasant Rd
Ste 103
Chesapeake, VA 23322
Phone (757) 780-8146

1028 Bells Rd
#111
Virginia Beach, VA 23451
Phone (502) 262-9722

309 Aragona Blvd
Ste 107108
Virginia Beach, VA 23462
Phone (757) 409-3495

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1447787874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 BELLS RD STE 111",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515845",
            "telephone_number": "757-409-3495",
            "fax_number": "833-924-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 BELLS RD STE 111",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515845",
            "telephone_number": "757-409-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURELLO",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.