Individual provider Active NPI

Tammy Fausett, MS CCC-SLP/L

  • Speech-Language Pathologist
  • Rock Springs, WY
National Provider Identifier
1982142014
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-416 Issued in WY
Practice address
1105 Applewood Drive
Rock Springs, WY 82901
Phone
(307) 371-4160
NPI assigned
Feb 9, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220829003344 WY Practitioner - Qualified Speech Language Pathologist 5496139156 Reassigns benefits to 1 organization

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
Alliance Physical Therapy, LLCGroup PAC ID 6901906452, 16 clinicians

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

LicenseStateTypeSpecialty
SP-416WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physical Therapy, LLC CurrentSince May 19, 2022 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.

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

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.

Verify at the official NPI Registry.