Active NPI
Tamatha L Cauckwell, M.S CCC-SLP
- Speech-Language Pathologist
- Fletcher, NC
National Provider Identifier
1902242811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12581
- Practice address
- 166 Haw River Rd
Fletcher, NC 28732-6723 - Phone
- (916) 803-7303
- NPI assigned
- May 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 17330 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP 1388 | NV | |
| Speech-Language Pathologist | 235Z00000X | 12581 | NC | Primary |
Addresses
Primary practice location
166 Haw River Rd
Fletcher, NC 28732-6723
Mailing address
166 Haw River Rd
Fletcher, NC 28732-6723
Phone (916) 803-7303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.tlctalkslp.com | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 17330 | CA | MD | Speech-Language Pathologist |
| SP 1388 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1902242811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 HAW RIVER RD",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287326723",
"telephone_number": "916-803-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 HAW RIVER RD",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287326723",
"telephone_number": "916-803-7303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUCKWELL",
"first_name": "TAMATHA",
"middle_name": "L",
"credential": "M.S CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-18",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 17330",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP 1388",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12581",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.tlctalkslp.com",
"affiliation": "N",
"endpointDescription": "website with email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "166 Haw River Rd",
"city": "Fletcher",
"state": "NC",
"country_code": "US",
"postal_code": "287326723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fletcher, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.