Individual provider Active NPI

Taryn Tallerico, MA CCC SLP

  • Speech-Language Pathologist
  • Dublin, OH
National Provider Identifier
1639650419
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP7495 Issued in OH
Practice address
6000 Riverside Dr
Dublin, OH 43017-1492
Phone
(614) 734-2146
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 SP7495 OH Primary

Addresses

Primary practice location

6000 Riverside Dr
Dublin, OH 43017-1492

Mailing address

7114 Dean Farm Rd
New Albany, OH 43054-7135
Phone (614) 715-1715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826002012 OH Practitioner - Qualified Speech Language Pathologist 0143604009 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP7495OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Home Health Care, LLC Current Accepting new patients
Affordable Home Health Care, LLC Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients

Locations

800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1639650419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 DEAN FARM RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547135",
            "telephone_number": "614-715-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171492",
            "telephone_number": "614-734-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLERICO",
        "first_name": "TARYN",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.