Individual provider Active NPI

Tammara Carrara, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Rutland, VT
National Provider Identifier
1609175181
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
25 Curtis Ave
Rutland, VT 05701-4866
Phone
(802) 772-0172
Fax
(888) 751-6009
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 VT Primary

Addresses

Primary practice location

25 Curtis Ave
Rutland, VT 05701-4866

Mailing address

25 Curtis Ave
Rutland, VT 05701-4866
Phone (802) 772-0172

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Curtis Ave
Suite 3
Rutland, VT 05701-4808
Phone (802) 772-0172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001126 VT Practitioner - Qualified Speech Language Pathologist 7113217852 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Communication Cognition and Swallowing LLP Speech-Language Pathologist CurrentSince Mar 29, 2016 Accepting new patients

Locations

25 Curtis Ave
Rutland, VT 05701
Phone (802) 772-0172

25 Curtis Ave
Ste 3
Rutland, VT 05701
Phone (802) 772-0172

72 Wales St
#2
Rutland, VT 05701

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1609175181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CURTIS AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014866",
            "telephone_number": "802-772-0172",
            "fax_number": "888-751-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CURTIS AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014866",
            "telephone_number": "802-772-0172",
            "fax_number": "888-751-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRARA",
        "first_name": "TAMMARA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.