Tara Gaines, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2038 Issued in NV

Practice address

800 Southwood Blvd Ste 207
Incline Village, NV 89451-7475

Phone

(775) 298-1441

NPI assigned

Apr 10, 2016

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Tahoe Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Incline Village, NV
  • NPI 1679098024
  NPD

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1831553478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6893",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894506893",
            "telephone_number": "775-298-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTHWOOD BLVD STE 207",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894517475",
            "telephone_number": "775-298-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "TARA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everything Kids Pediatric Therapy Associates
• Anna Elizabeth Nicola Ferrera Baumann, M.D.
• Margaret Mary Feyge, OTR L
• Julie Anne Fontecchio, MS, CCC-SLP
• Emma Genevieve Freeze, DC
• Gina Galle, R.N.
• Ronald Goldberg, MD
• Hallmark Homecare, Inc.
• Hallmark Homecare, LLC
• Peter A Hanson, MD

• Speech-Language Pathologist in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.