TARA FAGAN SLP
NPI 1164506192
Speech-Language Pathologist in Orange Park, FL

Q: What is Tara Fagan's NPI number?

The NPI number for Tara Fagan is 1164506192. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Tara Fagan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Fagan was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2006

1639 MAJESTIC VIEW LN, ORANGE PARK, FL 32003(904) 635-4143 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tara Fagan Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA FAGAN SLP (NPI 1164506192) is an individual speech-language pathologist provider in Orange Park, Florida, licensed in Florida (SA6601) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164506192

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTARA FAGANCredential: SLP

Location Address1639 MAJESTIC VIEW LNOrange Park, FL 32003-3223

Mailing Address1639 Majestic View LnOrange Park, FL 32003-3223 · (904) 635-4143

Phone(904) 635-4143

Sole ProprietorYes

Enumeration DateOctober 25, 2006

Last NPPES UpdateMay 30, 2013

✔ NPI 1164506192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in FL · SA6601

Definition

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.

1639 MAJESTIC VIEW LN, Orange Park, FL 32003

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Other Identifiers 1

Medicaid887580400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Fagan's NPI number?

The NPI number for Tara Fagan is 1164506192. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Tara Fagan located?

Tara Fagan practices at 1639 Majestic View Ln, Orange Park, FL 32003. The listed phone number is (904) 635-4143.

What is Tara Fagan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Tara Fagan accept?

Health plans from Molina Healthcare list Tara Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Fagan was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.