Michael Nicholas Tarantino, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6022 Issued in LA

Practice address

2399 Ferrand St Ste H
Monroe, LA 71201-3208

Phone

(318) 460-5150

NPI assigned

Sep 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kramerica LLCGroup PAC ID 5092135582, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kramerica LLC

  • Speech-Language Pathologist
  • Monroe, LA
  • NPI 1205442449
  Medicare reassignment Care Compare group NPD Authorized official
• Mend Physical Therapy, LLC

  • Physical Therapist
  • Monroe, LA
  • NPI 1003701954
  NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1659986602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 FERRAND ST STE H",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013208",
            "telephone_number": "318-460-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 FERRAND ST STE H",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013208",
            "telephone_number": "318-460-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "MICHAEL",
        "middle_name": "NICHOLAS",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madison Tanner
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• Tate'S Medical Transportation LLC
• Beatrice Antly Tatem, PH.D
• Victoria Tates
• Ashlee N. Tatum

• Speech-Language Pathologist in Monroe, LA
• Providers in Monroe, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.