Tara A Jacquet, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP774 Issued in ME

Practice address

75 W Commercial St
Northeast Hearing and Speech, Suite 205
Portland, ME 04101-4797

Phone

(207) 874-1065

Fax

(207) 874-1068

NPI assigned

Jan 29, 2007

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

Other identifiers 2

Other names 1

• Tara Rummery Other name

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 and National Provider Directory roles.

• Northeast Hearing and Speech Center, Inc.

  • Audiologist
  • Portland, ME
  • NPI 1457559452

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1750427639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST",
            "address_2": "NORTHEAST HEARING AND SPEECH, SUITE 205",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014797",
            "telephone_number": "207-874-1065",
            "fax_number": "207-874-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST",
            "address_2": "NORTHEAST HEARING AND SPEECH, SUITE 205",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014797",
            "telephone_number": "207-874-1065",
            "fax_number": "207-874-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUET",
        "first_name": "TARA",
        "middle_name": "A",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "024434",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269440099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "RUMMERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lawrence Jacoby, DMD, MPH
• Mariela Jacome
• Bethanie Jacques, LCPC
• Jessica Jacques, LCPC-CC
• Marc P Jacquet, MD
• Jade Trade Inc.
• Caroline Jaeger, DO
• William S Jaffee, D.O.
• Abhishek Jain, MD
• Catherine Ann Jakubowitch, M.D.

• Speech-Language Pathologist in Portland, ME
• Providers in Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.