Individual ProviderTara CripeSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002(904) 372-4070(904) 535-6083PECOS EnrollmentBased on the most recent information from CMS, provider Tara Cripe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871140244Provider TypeIndividualFull NameCripe, TaraCredentialM.S., CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date8/21/2019Last Updated8/21/2019Contact InformationPractice LocationPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002Phone(904) 372-4070FaxUnlisted FaxMailing LocationMailing Address551 David St, Atlantic Beach, FL 32233-4041Phone(904) 535-6083FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer