TARA RENEE CARR (NPI# 1831669555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831669555 |
| Entity Type | Individual |
| Full Name | TARA RENEE CARR |
| Other Name | TARA RENEE MANS |
| Credential | CCC-SLP |
| Practice Address |
3611 N Rochelle Ln Peoria IL 61604-1038 |
| Mailing Address |
101 W Forest Ave East Peoria IL 61611-3032 |
| Practice Telephone | 6185302147 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 10879 | OH | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659404713 | Tara P Carr | Specialist | 10 Airport Way, Cold Bay, AK 99571-0294 | 2007-03-14 |
| 1669634853 | Tara Friedel Carr | Allergy & Immunology | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719 | 2008-06-27 |
| 1174569776 | Tara Belur Carr | Psychiatry & Neurology | 3200 Vine St, Cincinnati, OH 45220-2213 | 2006-06-21 |
| Street Address |
3611 N ROCHELLE LN |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205156684 | Shaundra R Draper | Speech-Language Pathologist | 3611 N Rochelle Ln, Peoria, IL 61604-1038 | 2010-06-08 |
| 1265902126 | James D Pfulb | Physical Therapy Assistant | 3611 N Rochelle Ln, Peoria, IL 61604-1038 | 2018-12-04 |
| 1487975272 | Martina Gustafson | Occupational Therapist | 3611 N Rochelle Ln, Peoria, IL 61604-1038 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1558916676 | Ashlyn Logston | Speech-Language Pathologist | 8092 W Paradise Ln Apt 1097, Peoria, AZ 85382-4982 | 2019-08-06 |
| 1700443074 | Julie Ann Kelly | Speech-Language Pathologist | 1619 W Fredonia Ave, Peoria, IL 61606-1664 | 2019-05-22 |
| 1619441342 | Jean Marie Bachman | Speech-Language Pathologist | 918 W Florence Ave, Peoria, IL 61604-1304 | 2019-01-16 |
| 1780155697 | Alexandra Marie Jones | Speech-Language Pathologist | 2315 N Sterling Ave, Peoria, IL 61604-3124 | 2018-12-17 |
| 1760951412 | Casey Lyn Janko | Speech-Language Pathologist | 5409 N Knoxville Ave Ste 103, Peoria, IL 61614-5069 | 2018-11-23 |
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1982179123 | Jenny R. Doering | Speech-Language Pathologist | 4603 N Knoxville Ave, Peoria, IL 61614-6107 | 2018-10-03 |
| 1356825418 | Anne M Hall | Speech-Language Pathologist | 700 Mary St, Peoria, IL 61603-3432 | 2018-09-24 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.