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
- Last updated
- Sep 20, 2012
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.