Individual provider Active NPI

Pamela Faith Abner, CCC-SLP

  • Speech-Language Pathologist
  • Johnson City, TN
National Provider Identifier
1063649259
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000002253 Issued in TN
Practice address
301 Wesley St Ste 1
Johnson City, TN 37601-1721
Phone
(423) 282-1700
Fax
(423) 282-9319
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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 0000002253 TN Primary

Addresses

Primary practice location

301 Wesley St Ste 1
Johnson City, TN 37601-1721

Mailing address

810 Hiwassee Heights Dr
Johnson City, TN 37601-7503
Phone (423) 434-0524

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

LicenseStateTypeSpecialty
0000002253TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkback ABA LLC PastSince Jun 23, 2024 Accepting new patients
Talkback, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1063649259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HIWASSEE HEIGHTS DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017503",
            "telephone_number": "423-434-0524",
            "fax_number": "423-282-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WESLEY ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011721",
            "telephone_number": "423-282-1700",
            "fax_number": "423-282-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABNER",
        "first_name": "PAMELA",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000002253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.