Tara Wittrock, CCC/SLP
NPI 1871906891 · Speech-Language Pathologist · Moose Lake, MN
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Wittrock, CCC/SLP is a Speech-Language Pathologist provider in Moose Lake, MN (NPI 1871906891).
Provider details
- NPI number
- 1871906891
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC/SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 9592 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 407 E 3rd StDuluth, MN 55805Phone: (218) 786-4000
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Frequently asked questions
- What is Tara Wittrock's NPI number?
- Tara Wittrock's National Provider Identifier (NPI) is 1871906891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Wittrock's specialty?
- Tara Wittrock is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Tara Wittrock located?
- Tara Wittrock's practice location on file with NPPES is 4791 County Road 10 Ste 102, Moose Lake, MN 55767-9221.
- What is Tara Wittrock's phone number?
- The practice phone number listed in the NPPES registry for Tara Wittrock is (218) 485-2020.
- Does Tara Wittrock accept Medicare?
- Tara Wittrock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Wittrock's NPI active?
- Yes — Tara Wittrock's NPI (1871906891) is active in the NPPES registry as of the last update on 2023-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.