Organization Active NPI

Speech for Kids

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1922347442
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11955 Issued in OR
Legal business name
SPEECH FOR KIDS
Practice address
6107 SW Murray Blvd # 323
Beaverton, OR 97008-4421
Phone
(503) 501-8566
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Mrs. Tara Darice Cenova, MS, CCC-SLP
Title
Owner/Clinician
Phone
(503) 501-8566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11955 OR Primary

Addresses

Primary practice location

6107 SW Murray Blvd # 323
Beaverton, OR 97008-4421

Mailing address

6107 SW Murray Blvd # 323
Beaverton, OR 97008-4421
Phone (503) 501-8566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1922347442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 SW MURRAY BLVD # 323",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "503-501-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 SW MURRAY BLVD # 323",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084421",
            "telephone_number": "503-501-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "CENOVA",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "DARICE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "503-501-8566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.