Tiffany Vernon Phelps, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002886 Issued in VA

Practice address

4610 Heartland Way
Fredericksburg, VA 22408-8867

Phone

(540) 809-8010

Fax

(540) 891-1622

NPI assigned

Feb 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1053550111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 HEARTLAND WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088867",
            "telephone_number": "540-809-8010",
            "fax_number": "540-891-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 HEARTLAND WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088867",
            "telephone_number": "540-809-8010",
            "fax_number": "540-891-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "TIFFANY",
        "middle_name": "VERNON",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anson Le Pham, M.D.
• Helen Pham
• Hung X. Pham, D.O.
• Megan Wren Pham, CNM
• Nga Pham, PHARM D
• Phi Health, LLC
• Christina Phifer, PHARMD
• Alexyz Raylin Phillips
• Charles Franklin Phillips IV, DDS
• Denise M Phillips, COTA/L

• Speech-Language Pathologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.