Active NPI
Tammy Fausett, MS CCC-SLP/L
- Speech-Language Pathologist
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-416
- Practice address
- 1105 Applewood Drive
Rock Springs, WY 82901 - Phone
- (307) 371-4160
- NPI assigned
- Feb 9, 2017
- Last updated
- Feb 9, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-416 | WY | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 W Teton Blvd
Green River, WY 82935-6040
Phone (307) 875-1788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
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.
-
- Physical Therapist
- Rock Springs, WY
- NPI 1700081239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1982142014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 APPLEWOOD DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014649",
"telephone_number": "307-371-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 APPLEWOOD DRIVE",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "82901",
"telephone_number": "307-371-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSETT",
"first_name": "TAMMY",
"credential": "MS CCC-SLP/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
- Jackson Brady Facinelli, DC
- Amy Susan Faigl
- Family Dynamics Counseling, Inc
- Family Vision Clinic, PC
- Brooke Fandrich, PMHNP
- Emilia Rose Felix
- Carrie Fellbaum
- Feller and Feller Orthodontics, LLC (Feller and Feller Orthodontics)
- Feller Orthodontics LLC (feller and feller orthodontics)
- Parley Jack Feller, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.