Jennifer Elizabeth Tallman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW8400 Issued in FL

Practice address

1417 Partin Dr N Ste 1
Niceville, FL 32578-1426

Phone

(850) 729-0304

Fax

(850) 729-0305

NPI assigned

Feb 3, 2014

Last updated

Feb 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Psychological ConsultantsGroup PAC ID 3779675756, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Area Psychological Consultants

  • Psychologist
  • Niceville, FL
  • NPI 1902801210
  Medicare reassignment Care Compare group NPD
• Michael McManus Associates PA

  • Mental Health Counselor
  • Destin, FL
  • NPI 1831232180
  NPD

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1184047649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 PARTIN DR N STE 1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781426",
            "telephone_number": "850-729-0304",
            "fax_number": "850-729-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 PARTIN DR N STE 1",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781426",
            "telephone_number": "850-729-0304",
            "fax_number": "850-729-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW8400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Sue Swenson-Abraham, LCSW
• Roxanne Szymanski, RBT
• Alex Szymborski, DMD
• Nigist Tadesse, DDS
• Brooke Haddock Talley
• Michael Tallman
• Dominique Tarangelo
• Leslie Tatum
• Grace Taylor
• Jacqulyne Taylor, ARNP FNP-C

• Clinical Social Worker in Niceville, FL
• Providers in Niceville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.