Active NPI
Tiffany Albertson
- Speech-Language Assistant
- Tyndall, SD
National Provider Identifier
1003360025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 530
- Practice address
- 406 W 14TH Ave
Tyndall, SD 57066-2280 - Phone
- (605) 589-3134
- Fax
- (605) 589-3661
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 530 | SD | Primary |
Addresses
Primary practice location
406 W 14TH Ave
Tyndall, SD 57066-2280
Mailing address
PO Box 5
Tripp, SD 57376-0005
Phone (605) 770-6382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530 | SD | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1003360025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "TRIPP",
"state": "SD",
"postal_code": "573760005",
"telephone_number": "605-770-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W 14TH AVE",
"city": "TYNDALL",
"state": "SD",
"postal_code": "570662280",
"telephone_number": "605-589-3134",
"fax_number": "605-589-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERTSON",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "SD",
"license": "530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyndall, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.