Active NPI
Christian Luke Tarver, SLPA
- Speech-Language Assistant
- Park City, UT
National Provider Identifier
1780358721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 1640 Redstone Center Dr
Park City, UT 84098-7605 - Phone
- (866) 474-6677
- NPI assigned
- Aug 3, 2021
- 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 Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
1640 Redstone Center Dr
Park City, UT 84098-7605
Mailing address
6254 Warm Springs Rd Apt J11
Columbus, GA 31909-9162
Phone (601) 660-2934
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1780358721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6254 WARM SPRINGS RD APT J11",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319099162",
"telephone_number": "601-660-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 REDSTONE CENTER DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987605",
"telephone_number": "866-474-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "CHRISTIAN",
"middle_name": "LUKE",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.