Tashala Simpson Royster, M. S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8262 Issued in TN

Practice address

397 Tiny Town Rd Ste B
Clarksville, TN 37042-5636

Phone

(931) 999-7400

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Say That Speech

  • Early Intervention Provider Agency
  • Fountain, CO
  • NPI 1598469165

  Speech-Language Pathologist

  NPD
• Advanced Therapy Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarksville, TN
  • NPI 1326269119

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1699366757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 NOLEN RD APT 313",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406977",
            "telephone_number": "719-362-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 TINY TOWN RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370425636",
            "telephone_number": "931-999-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "TASHALA",
        "middle_name": "SIMPSON",
        "credential": "M. S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-06-22",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monserrath Katherine Rudisill
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• Speech-Language Pathologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.