Individual provider Active NPI

Tammy J Beller

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1740589571
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009808-1
Practice address
690 St Paul Street RM 321
Rochester Preschool Parent Program
Rochester, NY 14605
Phone
(585) 328-3360
Fax
(585) 324-2705
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 009808-1 Primary

Addresses

Primary practice location

690 St Paul Street RM 321
Rochester Preschool Parent Program
Rochester, NY 14605

Mailing address

690 St Paul Street RM 321
Rochester Preschool Parent Program
Rochester, NY 14605
Phone (585) 328-3360

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1740589571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 ST PAUL STREET RM 321",
            "address_2": "ROCHESTER PRESCHOOL PARENT PROGRAM",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14605",
            "telephone_number": "585-328-3360",
            "fax_number": "585-324-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 ST PAUL STREET RM 321",
            "address_2": "ROCHESTER PRESCHOOL PARENT PROGRAM",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14605",
            "telephone_number": "585-328-3360",
            "fax_number": "585-324-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLER",
        "first_name": "TAMMY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "009808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.