Individual provider Active NPI

Tammis A Chadwell, M.ED., M.S. CCC-SLP

  • Speech-Language Pathologist
  • Round Rock, TX
National Provider Identifier
1346591781
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104562 Issued in TX
Practice address
941 Hesters Crossing Rd Apt 3011
Round Rock, TX 78681-7810
Phone
(512) 694-4247
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 104562 TX Primary

Addresses

Primary practice location

941 Hesters Crossing Rd Apt 3011
Round Rock, TX 78681-7810

Mailing address

941 Hesters Crossing Rd Apt 3011
Round Rock, TX 78681-7810
Phone (512) 694-4247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004098 TX Practitioner - Qualified Speech Language Pathologist 3870031537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jumpstart Services IncGroup PAC ID 0345595237, 7 clinicians

Practice addresses (Care Compare)

129 Alondra Way
Round Rock, TX 78681-1789
Phone (917) 830-2098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
104562TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services TX LLC Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients
Jumpstart Services Inc CurrentSince Mar 7, 2025 Accepting new patients
Legacy Healthcare Services Inc. Speech-Language Pathologist CurrentSince Dec 2, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Dec 2, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1346591781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 HESTERS CROSSING RD APT 3011",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817810",
            "telephone_number": "512-694-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 HESTERS CROSSING RD APT 3011",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817810",
            "telephone_number": "512-694-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWELL",
        "first_name": "TAMMIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.ED., M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.