Active NPI
Alyssa Danielle Tarquinio
- Speech-Language Pathologist
- Arnold, MO
National Provider Identifier
1629741566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2021028582
- Practice address
- 3488 Jeffco Blvd Ste 1023488
Arnold, MO 63010-6015 - Phone
- (636) 464-5439
- Fax
- (636) 464-5439
- NPI assigned
- Jul 27, 2021
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2021028582 | MO | Primary |
Addresses
Primary practice location
3488 Jeffco Blvd Ste 1023488
Arnold, MO 63010-6015
Mailing address
3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015
Phone (636) 464-5439
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021028582 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Caring Group | Speech-Language Pathologist | Past | 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, 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": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1629741566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3488 JEFFCO BLVD STE 102",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630106015",
"telephone_number": "636-464-5439",
"fax_number": "636-464-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3488 JEFFCO BLVD STE 1023488",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630106015",
"telephone_number": "636-464-5439",
"fax_number": "636-464-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARQUINIO",
"first_name": "ALYSSA",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2021028582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.