Individual provider Active NPI

Tara Lynn Vehorn, SLP

  • Speech-Language Pathologist
  • Bellefontaine, OH
National Provider Identifier
1659665875
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10009 Issued in OH
Practice address
121 S Opera St
Bellefontaine, OH 43311-2057
Phone
(937) 599-5195
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SP10009 OH Primary

Addresses

Primary practice location

121 S Opera St
Bellefontaine, OH 43311-2057

Mailing address

12725 Southland Rd
Wapakoneta, OH 45895-8355
Phone (937) 726-4370

Other practice location 1

1045 Dearbaugh Ave
Suite 2
Wapakoneta, OH 45895-9245
Phone (419) 738-3422

Other practice location 2

2200 S US Highway 68
Urbana, OH 43078-9470
Phone (937) 484-1557

Other names 1

  • Miss Tara Lynn Dietz Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Logan County Esc Past Accepting new patients
Cornerstone Rehabilitation LTD Speech-Language Pathologist Past Accepting new patients

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659665875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SOUTHLAND RD",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458958355",
            "telephone_number": "937-726-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S OPERA ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112057",
            "telephone_number": "937-599-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Dearbaugh Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Wapakoneta",
            "state": "OH",
            "postal_code": "458959245",
            "country_code": "US",
            "telephone_number": "419-738-3422",
            "fax_number": "419-738-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 S US Highway 68",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430789470",
            "country_code": "US",
            "telephone_number": "937-484-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEHORN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP10009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "DIETZ",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.