Tarra Benham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60594553 Issued in WA

Practice address

601 Talcott St
Sedro Woolley, WA 98284-1729

Phone

(360) 855-3738

NPI assigned

Sep 17, 2015

Last updated

Sep 17, 2015By 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

State licenses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1790154920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 BACUS RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982848676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TALCOTT ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841729",
            "telephone_number": "360-855-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "TARRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60594553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Faith Barnes, LPN
• Briezi Beauchamp
• Joseph Richard Bee, O.D.
• Mychal Elizabeth Beebe, D.C.
• Sicoya James Forrest Clyde Bellis
• Robert Raymond Bennett, SUDPT
• Sarah F Bennett
• Ashley Marie Berg, RTS
• Tiffany Berg, RN
• Linda Lee Bergen, ATC NATA

• Speech-Language Pathologist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.