Individual provider Active NPI

Kristi McDonald Tapp, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Owensboro, KY
National Provider Identifier
1033217476
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2723 Issued in KY
Practice address
2200E Parrish Ave 104E
Owensboro, KY 42303-1450
Phone
(270) 316-8885
Fax
(270) 663-1303
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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 2723 KY Primary

Addresses

Primary practice location

2200E Parrish Ave 104E
Owensboro, KY 42303-1450

Mailing address

2200E Parrish Ave 104E
Owensboro, KY 42303-1450
Phone (270) 316-8885

Other names 1

  • Ms. Kristi Joellen Ard Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109002083 KY Practitioner - Qualified Speech Language Pathologist 2961712641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2723KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446854400000",
    "number": "1033217476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200E PARRISH AVE 104E",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031450",
            "telephone_number": "270-316-8885",
            "fax_number": "270-663-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200E PARRISH AVE 104E",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031450",
            "telephone_number": "270-316-8885",
            "fax_number": "270-663-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPP",
        "first_name": "KRISTI",
        "middle_name": "MCDONALD",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "ARD",
            "middle_name": "JOELLEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.