Active NPI
Tara Nicole Feather, MSP, CCC-SLP
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1366996753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5979
- Practice address
- 50 Bear Dr
Greenville, SC 29605-4458 - Phone
- (864) 241-6222
- NPI assigned
- Aug 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5979 | SC | Primary |
Addresses
Primary practice location
50 Bear Dr
Greenville, SC 29605-4458
Mailing address
23 Itasca Dr
Greenville, SC 29609-5000
Phone (864) 517-2224
Other practice location 1
29 N Academy St
Greenville, SC 29601-2629
Phone (864) 331-1364
Other names 1
- Tara Nicole Watters
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 |
|---|---|---|---|
| 5979 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1366996753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 ITASCA DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296095000",
"telephone_number": "864-517-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BEAR DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054458",
"telephone_number": "864-241-6222"
}
],
"practiceLocations": [
{
"address_1": "29 N Academy St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296012629",
"country_code": "US",
"telephone_number": "864-331-1364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEATHER",
"first_name": "TARA",
"middle_name": "NICOLE",
"credential": "MSP, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "WATTERS",
"middle_name": "NICOLE",
"credential": "MSP, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.