Active NPI
Tiffany Tabbert
- Speech-Language Pathologist
- Dublin, CA
National Provider Identifier
1265748768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20157
- Practice address
- 9801 Dublin Blvd
Dublin, CA 94568-2835 - Phone
- (925) 829-9555
- Fax
- (925) 829-9555
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13368 | OR | |
| Speech-Language Pathologist | 235Z00000X | 20157 | CA | Primary |
Addresses
Primary practice location
9801 Dublin Blvd
Dublin, CA 94568-2835
Mailing address
9801 Dublin Blvd
Dublin, CA 94568-2835
Phone (925) 829-9555
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20157 | CA | MD | Speech-Language Pathologist |
| 13368 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School of Imagination | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Dublin, CA
- NPI 1740516590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1265748768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 DUBLIN BLVD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682835",
"telephone_number": "925-829-9555",
"fax_number": "925-829-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 DUBLIN BLVD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682835",
"telephone_number": "925-829-9555",
"fax_number": "925-829-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBERT",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13368",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "20157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.