Active NPI
Tara Crowley Chase, MASTER OF ARTS, SPEE
- Speech-Language Pathologist
- Ventura, CA
National Provider Identifier
1891925053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#3333
- Practice address
- 1891 Goodyear Ave
Suite #605
Ventura, CA 93003 - Phone
- (805) 642-8490
- Fax
- (805) 659-9955
- NPI assigned
- Jul 22, 2009
- Last updated
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#3333 | CA | Primary |
Addresses
Primary practice location
1891 Goodyear Ave
Suite #605
Ventura, CA 93003
Mailing address
1891 Goodyear Ave
Suite #605
Ventura, CA 93003
Phone (805) 642-8490
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#3333 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Clinic | Speech-Language Pathologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1891925053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 GOODYEAR AVE",
"address_2": "SUITE #605",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-642-8490",
"fax_number": "805-659-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 GOODYEAR AVE",
"address_2": "SUITE #605",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-642-8490",
"fax_number": "805-659-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "TARA",
"middle_name": "CROWLEY",
"name_prefix": "Mrs.",
"credential": "MASTER OF ARTS, SPEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP#3333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.