Active NPI
Tammy Nicole Salas, M.S. CCC-SLP
- Speech-Language Pathologist
- West Bend, WI
National Provider Identifier
1922132919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2360-154
- Practice address
- 540 Shepherds Dr
West Bend, WI 53090-8488 - Phone
- (262) 306-8540
- Fax
- (262) 306-8451
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- 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 | 2360-154 | WI | Primary |
Addresses
Primary practice location
540 Shepherds Dr
West Bend, WI 53090-8488
Mailing address
2809 N 88TH St
Milwaukee, WI 53222-4647
Phone (414) 839-3494
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 |
|---|---|---|---|
| 2360-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922132919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 N 88TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224647",
"telephone_number": "414-839-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 SHEPHERDS DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530908488",
"telephone_number": "262-306-8540",
"fax_number": "262-306-8451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "TAMMY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2360-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.