Individual provider Active NPI

Tara Lacamera, CCC-SLP

  • Speech-Language Pathologist
  • Massapequa Park, NY
National Provider Identifier
1528360880
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019458-1 Issued in NY
Practice address
171 Broadway
Massapequa Park, NY 11762-2350
Phone
(516) 330-3950
NPI assigned
Nov 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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 019458-1 NY Primary

Addresses

Primary practice location

171 Broadway
Massapequa Park, NY 11762-2350

Mailing address

171 Broadway
Massapequa Park, NY 11762-2350
Phone (516) 330-3950

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

State licenses

LicenseStateTypeSpecialty
120591NYMDSchool Social Worker
019458-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1528360880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BROADWAY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622350",
            "telephone_number": "516-330-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 BROADWAY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622350",
            "telephone_number": "516-330-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAMERA",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.