Tessa Marie McCarty, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2019003689 Issued in NE

Practice address

12601 S 25TH St
Roca, NE 68430-4183

Phone

(402) 310-9990

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1982322368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 S 25TH ST",
            "city": "ROCA",
            "state": "NE",
            "postal_code": "684304183",
            "telephone_number": "402-310-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 S 25TH ST",
            "city": "ROCA",
            "state": "NE",
            "postal_code": "684304183",
            "telephone_number": "402-310-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2019003689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tessa.mccarty@presencelearning.com",
            "affiliation": "Y",
            "endpointDescription": "professional email account from teletherapy company",
            "affiliationName": "Presence Learning",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication about services/clients",
            "address_1": "12601 S 25th St",
            "city": "Roca",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684304183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nikki Knudsen
• Nikki Lightner
• Jordyn Lundeen
• Cassandra Manske
• J Tyler Martin, MD
• Rebecca Meyer
• Olga Paul
• Denise Jayne Petsche, M.S., CCC-SLP
• Karen Jean Radebaugh
• Kimberly Kay Snyder, PHARM D, RP

• Speech-Language Pathologist in Roca, NE
• Providers in Roca, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.