Individual provider Active NPI

Tara Leah Call, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1710944368
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2109 Issued in AR
Practice address
1218 N Crestwood Dr
Fayetteville, AR 72701-2603
Phone
(479) 957-4595
Fax
(479) 527-0114
NPI assigned
Apr 27, 2006
Last updated
May 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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 2109 AR Primary

Addresses

Primary practice location

1218 N Crestwood Dr
Fayetteville, AR 72701-2603

Mailing address

1218 N Crestwood Dr
Fayetteville, AR 72701-2603
Phone (479) 957-4595

Other identifiers 1

IdentifierTypeStateIssuer
154633721MedicaidAR

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1710944368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N CRESTWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012603",
            "telephone_number": "479-957-4595",
            "fax_number": "479-527-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N CRESTWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012603",
            "telephone_number": "479-957-4595",
            "fax_number": "479-527-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALL",
        "first_name": "TARA",
        "middle_name": "LEAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154633721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.