Individual provider Active NPI

Tamara Funabashi, MS

  • Speech-Language Pathologist
  • Norwell, MA
National Provider Identifier
1790285963
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
99 Longwater Cir Ste 101
Norwell, MA 02061-1643
Phone
(781) 792-2700
Fax
(781) 792-2707
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 MA Primary

Addresses

Primary practice location

99 Longwater Cir Ste 101
Norwell, MA 02061-1643

Mailing address

99 Longwater Cir Ste 100
Norwell, MA 02061-1643
Phone (781) 792-2700

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1790285963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 100",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "781-792-2700",
            "fax_number": "781-792-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 101",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "781-792-2700",
            "fax_number": "781-792-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNABASHI",
        "first_name": "TAMARA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.