Individual provider Active NPI

Tiffany Christina Noble, MS, CCC-SLP

  • Speech-Language Pathologist
  • Grayson, KY
National Provider Identifier
1003981911
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 7450 Issued in FL
Practice address
250 McDavid Blvd
Grayson, KY 41143-1603
Phone
(606) 474-7835
NPI assigned
Nov 24, 2006
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 7450 FL Primary

Addresses

Primary practice location

250 McDavid Blvd
Grayson, KY 41143-1603

Mailing address

5710 Dewberry Way
XXXX
West Palm Beach, FL 33415-4570
Phone (561) 313-8243

Other names 1

  • Ms. Tiffany Christina Noble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722001933 KY Practitioner - Qualified Speech Language Pathologist 0941349310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

1063 Addington Dr
Russell, KY 41169-1810
Phone (606) 831-0643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 7450FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc Speech-Language Pathologist CurrentSince Jun 5, 2025 Accepting new patients
The Weston Group Inc. CurrentSince Jun 5, 2025 Accepting new patients
Spectrum Speech and Language Services, LLC Speech-Language Pathologist Past Accepting new patients

Locations

1063 Addington Dr
Russell, KY 41169
Phone (606) 831-0643

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1003981911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 DEWBERRY WAY",
            "address_2": "XXXX",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334154570",
            "telephone_number": "561-313-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MCDAVID BLVD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431603",
            "telephone_number": "606-474-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "TIFFANY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "NOBLE",
            "middle_name": "CHRISTINA",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.