Individual provider Active NPI

Savannah Marie Tucker, MS, CCC-SLP

  • Speech-Language Pathologist
  • Auburn, AL
National Provider Identifier
1548020688
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5579 Issued in AL
Practice address
2000 Samglenn Dr Ste 100
Auburn, AL 36830-6549
Phone
(334) 734-5511
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 5579 AL Primary

Addresses

Primary practice location

2000 Samglenn Dr Ste 100
Auburn, AL 36830-6549

Mailing address

2000 Samglenn Dr Ste 100
Auburn, AL 36830-6549
Phone (334) 734-5511

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5579ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn TLC Speech-Language Pathologist CurrentSince Mar 24, 2024 Accepting new patients

Locations

2000 Samglenn Dr
Ste 100
Auburn, AL 36830
Phone (334) 734-5511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1548020688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAMGLENN DR STE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306549",
            "telephone_number": "334-734-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAMGLENN DR STE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306549",
            "telephone_number": "334-734-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SAVANNAH",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.