Christa Tabares, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103076 Issued in TX

Practice address

3250 Nacogdoches Rd
San Antonio, TX 78217-3321

Phone

(210) 407-5600

NPI assigned

Aug 10, 2022

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1821726654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173321",
            "telephone_number": "210-407-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173321",
            "telephone_number": "210-407-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARES",
        "first_name": "CHRISTA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Mai-Nhi Ta, OD
• Jordan Ta, DO
• Muhammed Taai, RD, LD
• Saira Guadalupe Tabaloc, REGISTERED NURSE
• Hannah Mae Tabanao, NP-C
• Giancarlo Tabaro Marrero
• Hooman Tabatabai-Mir, DPM
• Babak Tabatabai, M.D.
• Sayed A Tabatabai, M.D.
• Kutiba Tabbaa, M.B.B.CH

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

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

Verify at the official NPI Registry.