Individual provider Active NPI

Amy Tabano

  • Speech-Language Assistant
  • West Palm Beach, FL
National Provider Identifier
1083283790
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI4010 Issued in FL
Practice address
1850 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-6056
Phone
(561) 201-7917
Fax
(561) 584-5033
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI4010 FL Primary

Addresses

Primary practice location

1850 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-6056

Mailing address

13080 69TH St N
West Palm Beach, FL 33412-1960
Phone (954) 249-3686

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
SI4010FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Words Pediatric Therapy PastSince Jun 22, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1083283790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13080 69TH ST N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121960",
            "telephone_number": "954-249-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 FOREST HILL BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066056",
            "telephone_number": "561-201-7917",
            "fax_number": "561-584-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABANO",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.