Individual provider Active NPI

Tanya Anna De Herrera, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Yonkers, NY
National Provider Identifier
1508289075
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004295 Issued in CT
Practice address
1304 Midland Ave Apt B24
Yonkers, NY 10704-1435
Phone
(914) 318-7247
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004295 CT Primary
Speech-Language Pathologist 235Z00000X 021456-1 NY

Addresses

Primary practice location

1304 Midland Ave Apt B24
Yonkers, NY 10704-1435

Mailing address

1304 Midland Ave Apt B24
Yonkers, NY 10704-1435
Phone (914) 318-7247

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
021456NYMDPhysical Therapist
004295CTMDOccupational Therapist
021456-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1508289075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MIDLAND AVE APT B24",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041435",
            "telephone_number": "914-318-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MIDLAND AVE APT B24",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041435",
            "telephone_number": "914-318-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HERRERA",
        "first_name": "TANYA",
        "middle_name": "ANNA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004295",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021456-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.