Individual provider Active NPI

Tamar Bonne-Annee, CCC-SLP

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1457639635
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010150 Issued in PA
Practice address
350 E Willow Grove Ave
Apt 605
Philadelphia, PA 19118-4409
Phone
(646) 651-3445
Fax
(718) 649-0080
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

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 SL010150 PA Primary

Addresses

Primary practice location

350 E Willow Grove Ave
Apt 605
Philadelphia, PA 19118-4409

Mailing address

350 E Willow Grove Ave
Apt 605
Philadelphia, PA 19118-4409
Phone (646) 651-3445

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

LicenseStateTypeSpecialty
SL010150PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1457639635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E WILLOW GROVE AVE",
            "address_2": "APT 605",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184409",
            "telephone_number": "646-651-3445",
            "fax_number": "718-649-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E WILLOW GROVE AVE",
            "address_2": "APT 605",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184409",
            "telephone_number": "646-651-3445",
            "fax_number": "718-649-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNE-ANNEE",
        "first_name": "TAMAR",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.