Individual provider Active NPI

Christina Stengel Tabbut, CCC-SLP

  • Speech-Language Pathologist
  • East Norriton, PA
National Provider Identifier
1306255286
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL002105L Issued in PA
Practice address
2751 Dekalb PK.
East Norriton, PA 19401
Phone
(610) 278-2700
Fax
(610) 275-3398
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL002105L PA Primary

Addresses

Primary practice location

2751 Dekalb PK.
East Norriton, PA 19401

Mailing address

5 Eisenhower Dr.
Malvern, PA 19355
Phone (610) 251-9303

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

LicenseStateTypeSpecialty
SL002105LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1306255286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EISENHOWER DR.",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "610-251-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEKALB PK.",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-278-2700",
            "fax_number": "610-275-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBUT",
        "first_name": "CHRISTINA",
        "middle_name": "STENGEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002105L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.