Individual provider Active NPI

Tommye L Robb, CCC/SLP

  • Speech-Language Pathologist
  • Carterville, IL
National Provider Identifier
1588773535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1703 Poteete
TLC of Southern & Central Illinios
Carterville, IL 62918-0364
Phone
(618) 985-2181
Fax
(618) 985-6055
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1703 Poteete
TLC of Southern & Central Illinios
Carterville, IL 62918-0364

Mailing address

P O Box 364
TLC of Southern & Central Illinois
Carterville, IL 62918-0364
Phone (618) 985-2181

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
146001959ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Southern & Central Illinois Inc. Speech-Language Pathologist Past Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588773535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 364",
            "address_2": "TLC OF SOUTHERN & CENTRAL ILLINOIS",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180364",
            "telephone_number": "618-985-2181",
            "fax_number": "681-985-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 POTEETE",
            "address_2": "TLC OF SOUTHERN & CENTRAL ILLINIOS",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180364",
            "telephone_number": "618-985-2181",
            "fax_number": "618-985-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "TOMMYE",
        "middle_name": "L",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carterville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.