Individual provider Active NPI

Tara Maureen Kalbach, MA,CCC-SLP

  • Speech-Language Pathologist
  • Winter Garden, FL
National Provider Identifier
1871689661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7850 Issued in FL
Practice address
1002 S Dillard St
Suite 106
Winter Garden, FL 34787-3991
Phone
(407) 905-8908
Fax
(407) 905-8958
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SA7850 FL Primary

Addresses

Primary practice location

1002 S Dillard St
Suite 106
Winter Garden, FL 34787-3991

Mailing address

12084 Lake Cypress Cir
Apt. J309
Orlando, FL 32828-7055
Phone (407) 996-1581

Other names 1

  • Miss Tara Maureen Styga Former name

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
SA7850FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871689661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12084 LAKE CYPRESS CIR",
            "address_2": "APT. J309",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287055",
            "telephone_number": "407-996-1581",
            "fax_number": "407-996-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S DILLARD ST",
            "address_2": "SUITE 106",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873991",
            "telephone_number": "407-905-8908",
            "fax_number": "407-905-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALBACH",
        "first_name": "TARA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "STYGA",
            "middle_name": "MAUREEN",
            "prefix": "MISS",
            "credential": "MA,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.