Teresa Elaine Tabor, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP0000003960 Issued in TN

Practice address

2265 Parr Ave
Dyersburg, TN 38024-2078

Phone

(731) 285-6600

Fax

(731) 285-8005

NPI assigned

Mar 15, 2018

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1205339264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 PARR AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242078",
            "telephone_number": "731-285-6600",
            "fax_number": "731-285-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 PARR AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242078",
            "telephone_number": "731-285-6600",
            "fax_number": "731-285-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "TERESA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Daniel Stork, PTA
• Rachel Hope Stover
• Strahl Emergency Physicians
• Amber Ann Marie Sullivan, FNP-BC
• T M Carr MD PC
• Elisa Talwar, RT, RDMS
• Mahinder Pal Singh Talwar, RPSGT
• Brittany Katherine Nicole Tate
• Lashonia Tate
• James B Taylor, D.PH.

• Speech-Language Pathologist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.