Active NPI
Tammy Carwile Campbell, MA CCC-SLP
- Speech-Language Pathologist
- Callaway, FL
National Provider Identifier
1639455116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4576
- Practice address
- 807 N Tyndall Pkwy
Callaway, FL 32404-9495 - Phone
- (850) 866-1656
- NPI assigned
- Oct 27, 2011
- Last updated
- Oct 27, 2011
- 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 | 4576 | FL | Primary |
Addresses
Primary practice location
807 N Tyndall Pkwy
Callaway, FL 32404-9495
Mailing address
120 Queens Cir
Panama City, FL 32405-1910
Phone (850) 747-1198
Other names 1
- Mrs. Tammy Kaye Campbell
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4576 | FL | MD | Psychoanalysis Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Therapy, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1639455116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 QUEENS CIR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324051910",
"telephone_number": "850-747-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N TYNDALL PKWY",
"city": "CALLAWAY",
"state": "FL",
"postal_code": "324049495",
"telephone_number": "850-866-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "TAMMY",
"middle_name": "CARWILE",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "4576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "CAMPBELL",
"middle_name": "KAYE",
"prefix": "MRS.",
"credential": "MA CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Callaway, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.