Jody M. Tanner, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

#SLP0793 Issued in AZ

Practice address

3285 E Sparrow Ave
Flagstaff, AZ 86004-7794

Phone

(928) 527-6000

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Flagstaff Unified School District

  • Student in an Organized Health Care Education/Training Program
  • Flagstaff, AZ
  • NPI 1275747206
  NPD (past)
• Flagstaff Unified School District #1

  • Local Education Agency (LEA)
  • Flagstaff, AZ
  • NPI 1407982226
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992854020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 S GILLENWATER DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018947",
            "telephone_number": "928-779-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 E SPARROW AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047794",
            "telephone_number": "928-527-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JODY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "#SLP0793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114083",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Szczepanski, PHD, RDN
• Henry Joseph Tagle III, D.M.D.
• Renee Takehara
• Tiana Tallant, PT, DPT
• Alexander Kerway Tan, L.AC.
• Matthew Francis Taormina
• Jocelyn Melissa Tarango
• Rose Tarquini-Cassell, RBT
• Amanda Taylor, MOT
• Amy Kathryn Taylor, ACNPC-AG, FNP

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.