Tara Banfield, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030139 Issued in NY

Practice address

2501 Milburn Ave
Baldwin, NY 11510-3628

Phone

(516) 521-6036

NPI assigned

Jun 14, 2019

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kids in Action

  • Early Intervention Provider Agency
  • Islip, NY
  • NPI 1790143311
  NPD (past)
• Kids in Action of L.I. Inc.

  • Specialist
  • Islip, NY
  • NPI 1366596579
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1699335471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 AVOCA AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623124",
            "telephone_number": "516-541-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103628",
            "telephone_number": "516-521-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFIELD",
        "first_name": "TARA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-10-22",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baldwin Harbor Podiatry
• Baldwin Medical Services
• Baldwin Optometry PC
• Baldwin RX Inc
• Baldwin Ufsc
• Tunde Banhegyesi, MS.ED
• Tyra M Banks, MS, OTR/L
• Kourteney Adrianna Barnes
• Marisa Barrett
• Jackie L Barthelemy

• Speech-Language Pathologist in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.