TARA FAGAN (SLP) – Speech-Language Pathologist, NPI 1164506192

TARA FAGAN (SLP) is a healthcare provider. based in Orange park, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials SLP. They hold a License No. SA6601 (FL). The NPI Number for TARA FAGAN (SLP) is 1164506192

Main info

Female
Sole Proprietor
Name
TARA FAGAN (SLP)
NPI
1164506192
Phone
(904) 635-4143
Address
1639 MAJESTIC VIEW LN
Enumeration Date
25 October 2006
Last Update Date
30 May 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for TARA FAGAN (SLP)

  • 1639 MAJESTIC VIEW LN

    ORANGE PARK, FL 320033223

    Phone: (904) 635-4143

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32003)

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Frequently asked questions

What is TARA FAGAN (SLP)'s NPI number?
TARA FAGAN (SLP)'s NPI is 1164506192 — the number used across U.S. healthcare to identify this provider.
Is TARA FAGAN (SLP) shown as active in public data?
Registry records indicate TARA FAGAN (SLP) maintains an active NPI.
What expertise is attributed to TARA FAGAN (SLP)?
TARA FAGAN (SLP)'s specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TARA FAGAN (SLP)?
Travel planning: use Orange Park, Florida as the reference point for TARA FAGAN (SLP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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