Individual provider Active NPI

Carey Anne Tanis, CCC MS SLP

  • Speech-Language Pathologist
  • Bethlehem, PA
National Provider Identifier
1588867014
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006411L Issued in PA
Practice address
3001 Easton Ave
Bethlehem, PA 18017-4207
Phone
(610) 392-4339
Fax
(610) 865-1289
NPI assigned
Jun 11, 2007
Last updated
Jul 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 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 SL006411L PA Primary

Addresses

Primary practice location

3001 Easton Ave
Bethlehem, PA 18017-4207

Mailing address

3001 Easton Ave
Bethlehem, PA 18017-4207
Phone (610) 392-4339

Other names 1

  • Carey Anne Hotchkiss Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000292 PA Practitioner - Qualified Speech Language Pathologist 8628304821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advent Speech and Feeding Therapy LLCGroup PAC ID 7911233101, 2 clinicians

Practice addresses (Care Compare)

3376 Linden St
Bethlehem, PA 18017-1928
Phone (610) 392-4339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Speech and Feeding Therapy, LLC Speech-Language Pathologist CurrentSince Aug 1, 2019 Accepting new patients
Advent Therapy LLC Speech-Language Pathologist PastSince Jun 29, 2026 Accepting new patients

Organizations & group practices 2

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1588867014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174207",
            "telephone_number": "610-392-4339",
            "fax_number": "610-865-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174207",
            "telephone_number": "610-392-4339",
            "fax_number": "610-865-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "CAREY",
        "middle_name": "ANNE",
        "credential": "CCC MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006411L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "HOTCHKISS",
            "middle_name": "ANNE",
            "credential": "CCC MS SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.