KASHALA SMITH-TAVARIS MS CCC-SLP
NPI 1225669856
Speech-Language Pathologist in Fairfield, CT

Q: What is Kashala Smith-tavaris's NPI number?

The NPI number for Kashala Smith-tavaris is 1225669856. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Kashala Smith Ms Ccc-Slp.

Q: What is Kashala Smith-tavaris's specialty?

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

Active since February 02, 2020

60 KATONA DR STE 24, FAIRFIELD, CT 06824(203) 576-0142(866) 608-3856 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 27, 2020, Feb 2, 2020 (2 updates tracked since 2020).

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About Kashala Smith-tavaris Ms Ccc-slp NPPES

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

KASHALA SMITH-TAVARIS MS CCC-SLP (NPI 1225669856) is an individual speech-language pathologist provider in Fairfield, Connecticut, licensed in Connecticut (003820) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1225669856

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKASHALA SMITH-TAVARISCredential: MS CCC-SLP

Location Address60 KATONA DR STE 24Fairfield, CT 06824-3544

Mailing Address60 Katona Dr Ste 24Fairfield, CT 06824-3544 · (203) 567-0142 · Fax (866) 608-3856

Phone(203) 576-0142

Fax(866) 608-3856

Sole ProprietorYes

Enumeration DateFebruary 2, 2020

Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration

NPPES CertifiedAugust 27, 2020

✔ NPI 1225669856 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 CT · 003820

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.

60 KATONA DR STE 24, Fairfield, CT 06824

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Other Names 1

Professional Name (2)Kashala Smith Ms Ccc-slp

Other Identifiers 1

Other003820CT · Ct License In Speech Language Pathology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kashala Smith-tavaris Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kashala Smith-tavaris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University

18 mi

Advanced Practice Midwife

100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519

Reassigned Medicare billing, Connecticut enrollment
3,728 clinicians in this Medicare group

NPI 1124148887 (203) 737-5432

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kashala Smith-tavaris's NPI number?

The NPI number for Kashala Smith-tavaris is 1225669856. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Kashala Smith Ms Ccc-Slp.

Where is Kashala Smith-tavaris located?

Kashala Smith-tavaris practices at 60 Katona Dr Ste 24, Fairfield, CT 06824. The listed phone number is (203) 576-0142.

What is Kashala Smith-tavaris's specialty?

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

Is Kashala Smith-tavaris enrolled in Medicare?

Yes. Kashala Smith-tavaris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kashala Smith-tavaris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kashala Smith-tavaris reassigns Medicare benefits to Yale University (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kashala Smith-tavaris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kashala Smith-tavaris was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.