Tammy Fausett, MS CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Rock Springs, WY
NPI 1982142014 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1982142014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-416 (WY)
- Practice address
- 1105 Applewood Drive
Rock Springs, WY 82901 - Phone
- (307) 371-4160
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Physical Therapy, LLC
Practice addresses (Care Compare)
2100 W Teton Blvd
Green River, WY 82935-6040
Phone (307) 875-1788
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220829003344 | WY | Practitioner - Qualified Speech Language Pathologist | 5496139156 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-416 | WY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physical Therapy, LLC | Current |
Accepting new patients |
Locations
2100 W Teton Blvd
Green River, WY 82935
Phone (307) 875-1788
1977 Dewar Dr
Ste J
Rock Springs, WY 82901
Phone (307) 382-3228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-416 | WY | Yes |
Addresses
Primary practice location
1105 Applewood Drive
Rock Springs, WY 82901
Mailing address
1105 Applewood Dr
Rock Springs, WY 82901-4649
Phone (307) 371-4160
Other providers in Rock Springs, WY
- Jackson Brady Facinelli
- Amy Susan Faigl
- Family Dynamics Counseling, Inc
- Family Vision Clinic, PC
- Brooke Fandrich
- Emilia Rose Felix
- Carrie Fellbaum
- Feller and Feller Orthodontics, LLC
- Feller Orthodontics LLC
- Parley Jack Feller
All providers in Rock Springs, WY · Speech-Language Pathologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.