Active NPI
Tabatha Camp
- Speech-Language Pathologist
- Owensboro, KY
National Provider Identifier
1104482702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3117 Alvey Park Dr W
Owensboro, KY 42303-2139 - Phone
- (270) 683-9992
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
3117 Alvey Park Dr W
Owensboro, KY 42303-2139
Mailing address
3117 Alvey Park Dr W
Owensboro, KY 42303-2139
Other names 1
- Tabatha Payne
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JB Therapy Services PLLC | Single Specialty | Current | Accepting new patients |
Locations
3117 Alvey Park Dr W
Owensboro, KY 42303
Phone (270) 313-6414
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": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1104482702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 ALVEY PARK DR W",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 ALVEY PARK DR W",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032139",
"telephone_number": "270-683-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMP",
"first_name": "TABATHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABATHA",
"last_name": "PAYNE",
"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 May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.