Individual provider Active NPI

Tara Joy Marshall, BA, SLPA

  • Speech-Language Assistant
  • Avondale, AZ
National Provider Identifier
1881901452
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA6523 Issued in AZ
Practice address
12409 W Indian School Rd
Suite C306
Avondale, AZ 85392-9502
Phone
(623) 935-6040
Fax
(623) 935-6046
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA6523 AZ Primary

Addresses

Primary practice location

12409 W Indian School Rd
Suite C306
Avondale, AZ 85392-9502

Mailing address

12409 W Indian School Rd
Suite C306
Avondale, AZ 85392-9502
Phone (623) 935-6040

Other identifiers 1

IdentifierTypeStateIssuer
SLPA6523OtherAZAZ DEPT. OF HEALTH SERVICES

Other names 1

  • Ms. Tara Joy Marshall El-Masry 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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
SLPA6523AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development LLC Speech-Language Pathologist Past Accepting new patients
Piller Child Development Past Accepting new patients

Organizations & group practices 2

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1881901452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD",
            "address_2": "SUITE C306",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929502",
            "telephone_number": "623-935-6040",
            "fax_number": "623-935-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD",
            "address_2": "SUITE C306",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929502",
            "telephone_number": "623-935-6040",
            "fax_number": "623-935-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TARA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "BA, SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA6523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT. OF HEALTH SERVICES",
            "identifier": "SLPA6523",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MARSHALL EL-MASRY",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "BA, SLPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.