NPIMap

Organization Active NPI

Tally M Ward

  • Speech-Language Pathologist
  • Red Oak, TX
National Provider Identifier
1407345796
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TALLY M WARD
Practice address
200 N I 35 Ste C
Red Oak, TX 75154-4241
Phone
(469) 917-0805
Fax
(469) 917-0799
NPI assigned
May 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Tally M WardNPI 1801034053
Title
Owner/SLP
Phone
(469) 917-0805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

200 N I 35 Ste C
Red Oak, TX 75154-4241

Mailing address

200 N I 35 Ste C
Red Oak, TX 75154-4241
Phone (469) 917-0805

Other identifiers 1

IdentifierTypeStateIssuer
286230202MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1407345796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N I 35 STE C",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544241",
            "telephone_number": "469-917-0805",
            "fax_number": "469-917-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N I 35 STE C",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544241",
            "telephone_number": "469-917-0805",
            "fax_number": "469-917-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLY M WARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TALLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "469-917-0805"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286230202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.