Tarah Breanne Rochester

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108032 Issued in TX

Practice address

8012 Shin Oak Dr
Live Oak, TX 78233-2413

Phone

(210) 945-5348

NPI assigned

Jun 13, 2011

Last updated

Aug 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1609161140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 SHIN OAK DR",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332413",
            "telephone_number": "219-945-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 SHIN OAK DR",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332413",
            "telephone_number": "210-945-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHESTER",
        "first_name": "TARAH",
        "middle_name": "BREANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106722",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrinna Marie Rivera
• Toni Rivers, LMSW
• Madison Robbins
• Robert a. Horvath M.D. P.a.
• Robert M Narvaez MD PA
• Eric Matthew Rodriguez
• Erica Campos Rodriguez
• George Rodriguez, DC
• Jennifer Rodriguez
• Jennifer M Rodriguez

• Speech-Language Pathologist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.