Tess Emily Tavill, M.S., CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10876 Issued in CA

Practice address

2521 Stockton Blvd
Suite 6201
Sacramento, CA 95817-2207

Phone

(916) 734-5158

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1942750971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 51ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192303",
            "telephone_number": "916-548-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 STOCKTON BLVD",
            "address_2": "SUITE 6201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172207",
            "telephone_number": "916-734-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVILL",
        "first_name": "TESS",
        "middle_name": "EMILY",
        "credential": "M.S., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tavallaei, D.M.D., Corporation
• Tavallaei, D.M.D., Corporation
• Mark Tavares
• Daribel Taveras, MD
• Jennifer Renee Tavernetti, M.D.
• Clinton Taxdahl
• Theam Leng Tay, MD
• You Sher Tay, M.D.
• Kelhmier Joyce Tayag
• Hana Taye

• Speech-Language Pathologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.