Individual provider Active NPI

Tessa Elizabeth Alumbaugh, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Webb City, MO
National Provider Identifier
1902331390
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2020009578 Issued in MO
Practice address
1829 Philadelphia
Webb City, MO 64870-1093
Phone
(405) 269-2402
NPI assigned
Apr 24, 2017
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2020009578 MO Primary
Speech-Language Pathologist 235Z00000X 5266 SC

Addresses

Primary practice location

1829 Philadelphia
Webb City, MO 64870-1093

Mailing address

1829 Philadelphia
Webb City, MO 64870-1093
Phone (405) 269-2402

Other practice location 1

2044 Pageland Hwy
Lancaster, SC 29720-7608
Phone (803) 285-7907

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

LicenseStateTypeSpecialty
2020009578MOMDSpeech-Language Pathologist
5266SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Occupational Therapy LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1902331390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 PHILADELPHIA",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701093",
            "telephone_number": "405-269-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 PHILADELPHIA",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701093",
            "telephone_number": "405-269-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Pageland Hwy",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297207608",
            "country_code": "US",
            "telephone_number": "803-285-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALUMBAUGH",
        "first_name": "TESSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020009578",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.