Tabitha Star Haynie, M.S., CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-4264 Issued in NM

Practice address

2221 Dillon Rd
Retirement Ranch Inc of Clovis
Clovis, NM 88101-9454

Phone

(575) 762-4495

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Retirement Ranches, Inc

  • Skilled Nursing Facility
  • Clovis, NM
  • NPI 1528059011
  NPD (past)
• Reliant Provider Services, LLC

  • Nurse Practitioner
  • Plano, TX
  • NPI 1629426846
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1205087186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 E 21ST ST UNIT C",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013940",
            "telephone_number": "575-309-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 DILLON RD",
            "address_2": "RETIREMENT RANCH INC OF CLOVIS",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019454",
            "telephone_number": "575-762-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "TABITHA",
        "middle_name": "STAR",
        "name_prefix": "Mrs.",
        "credential": "M.S., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad R Hassan, MD
• Chesney Chellise Hatch, OTD
• Christal J Hatley, SLP
• Britney D'Von Hawkins, PHARMD
• Stephen H. Haynes, MD
• Hazen Chiropractic Center
• Shenye He, D.M.D.
• Wayne Keith Head, LMSW
• Healthy Haven Counseling & Consulting Services, LLC (Healthy Haven Counseling)
• Donald L Heine, MD

• Speech-Language Pathologist in Clovis, NM
• Providers in Clovis, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.