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MS. TARRA L BAILEY M.S CCC-SLP
NPI 1942475595
Speech-Language Pathologist in Green Bay, WI

Active since April 24, 2008
1431 DIVISION ST, GREEN BAY, WI 54303(920) 619-3459 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Tarra L Bailey M.s Ccc-slp NPPES

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

MS. TARRA L BAILEY M.S CCC-SLP (NPI 1942475595) is an individual speech-language pathologist provider in Green Bay, Wisconsin, licensed in Wisconsin (3038-154) and active in the NPI registry since April 2008. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1942475595
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. TARRA L BAILEYCredential: M.S CCC-SLP
Location Address1431 DIVISION STGreen Bay, WI 54303-3121
Mailing Address1431 Division StGreen Bay, WI 54303-3121 · (920) 619-3459
Phone(920) 619-3459
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2008
✔ NPI 1942475595 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 WI · 3038-154
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.
1431 DIVISION ST, Green Bay, WI 54303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tarra L Bailey M.s Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991274763
PECOS Enrollment IDI20260521001144

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 Tarra Bailey's NPI number?

The NPI number for Tarra Bailey is 1942475595. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Tarra Bailey located?

Tarra Bailey practices at 1431 Division St, Green Bay, WI 54303. The listed phone number is (920) 619-3459.

What is Tarra Bailey's specialty?

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

Is Tarra Bailey enrolled in Medicare?

Yes. Tarra Bailey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tarra Bailey was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.