Active NPI
Tamara B Cranfill, CCC/SLP
- Speech-Language Pathologist
- Somerset, KY
National Provider Identifier
1023041324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0786
- Practice address
- 353 Bogle St
Suite 203
Somerset, KY 42503-2888 - Phone
- (606) 679-1761
- Fax
- (606) 678-0971
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 0786 | KY | Primary |
Addresses
Primary practice location
353 Bogle St
Suite 203
Somerset, KY 42503-2888
Mailing address
353 Bogle St
Suite 203
Somerset, KY 42503-2888
Phone (606) 679-1761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000244102 | Other | KY | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Medpark Dr
Someret, KY 42503-2734
Phone (606) 679-1761
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Somerset, KY
- NPI 1225061542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023041324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 BOGLE ST",
"address_2": "SUITE 203",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032888",
"telephone_number": "606-679-1761",
"fax_number": "606-678-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 BOGLE ST",
"address_2": "SUITE 203",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032888",
"telephone_number": "606-679-1761",
"fax_number": "606-678-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANFILL",
"first_name": "TAMARA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "0786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000244102",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.