Active NPI
James Robert Hampton, MACCC,SLP
- Speech-Language Pathologist
- Tavares, FL
National Provider Identifier
1710090337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6172
- Practice address
- 2762 Dora Ave
Tavares, FL 32778-4970 - Phone
- (352) 742-7837
- Fax
- (352) 742-7837
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 | SA6172 | FL | Primary |
Addresses
Primary practice location
2762 Dora Ave
Tavares, FL 32778-4970
Mailing address
2762 Dora Ave
Tavares, FL 32778-4970
Phone (352) 742-7837
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886642200 | Medicaid | FL | |
| 887886200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step-by-Step Therapy, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Fullsail Therapy Service, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Step by Step Therapy, Inc | Current | Accepting new patients |
Locations
2760 Dora Ave
Tavares, FL 32778
Phone (352) 742-7837
2762 Dora Ave
Tavares, FL 32778
Phone (352) 404-5968
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Tavares, FL
- NPI 1518083989
-
- Occupational Therapy Assistant
- Tavares, FL
- NPI 1861896219
-
- Speech-Language Pathologist
- Tavares, FL
- NPI 1487352662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1710090337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2762 DORA AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784970",
"telephone_number": "352-742-7837",
"fax_number": "352-742-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2762 DORA AVE",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784970",
"telephone_number": "352-742-7837",
"fax_number": "352-742-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "MACCC,SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886642200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887886200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.