Individual provider Active NPI

Marissa Tafuri

  • Speech-Language Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1619538345
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI4034 Issued in FL
Practice address
201 SE 19TH St
Fort Lauderdale, FL 33316-2837
Phone
(954) 763-5444
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SI4034 FL Primary

Addresses

Primary practice location

201 SE 19TH St
Fort Lauderdale, FL 33316-2837

Mailing address

7760 Stone Harbour Dr Apt 3
Lake Worth, FL 33467-7975
Phone (561) 267-6227

Other practice location 1

1425 E Commercial Blvd
Oakland Park, FL 33334-5715
Phone (954) 281-5606

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SI4034FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Epd Speech and Occupational Therapy Inc. PastSince Nov 10, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1619538345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 STONE HARBOUR DR APT 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677975",
            "telephone_number": "561-267-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SE 19TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162837",
            "telephone_number": "954-763-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 E Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333345715",
            "country_code": "US",
            "telephone_number": "954-281-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFURI",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.