Individual provider Active NPI

Jennifer L Tarle, MA CCC-SLP

  • Speech-Language Pathologist
  • Wexford, PA
National Provider Identifier
1831249291
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007392 Issued in IL
Practice address
10318 Ridgecrest PT
Wexford, PA 15090-9600
Phone
(216) 272-7039
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 146007392 IL Primary

Addresses

Primary practice location

10318 Ridgecrest PT
Wexford, PA 15090-9600

Mailing address

10318 Ridgecrest PT # NA
Wexford, PA 15090-9600
Phone (216) 272-7039

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
146007392ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tarle Speech and Language Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1831249291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 RIDGECREST PT # NA",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909600",
            "telephone_number": "216-272-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 RIDGECREST PT",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909600",
            "telephone_number": "216-272-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARLE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.