TAMARA WILLIARD (SLP,MA,CCC-SLP) – Speech-Language Pathologist, NPI 1144361502

TAMARA WILLIARD (SLP,MA,CCC-SLP) is a healthcare provider. based in Fort worth, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP,MA,CCC-SLP. They hold a License No. 19233 (TX). The NPI Number for TAMARA WILLIARD (SLP,MA,CCC-SLP) is 1144361502

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA WILLIARD (SLP,MA,CCC-SLP)
NPI
1144361502
Phone
(940) 595-1859
Address
1919 8TH AVE
Enumeration Date
9 February 2007
Last Update Date
21 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405358105
Graduation Year
1999 (27 years ago)
PAC ID
0648791186
Group Practice PAC ID
3274928023
Professional Enrollment ID
I20250312003344
Address ID
TX762491556KR4118XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

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Provider Addresses for TAMARA WILLIARD (SLP,MA,CCC-SLP)

  • 1919, 8th Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76110, United States

    FORT WORTH, TX 761101358

    Phone: (940) 595-1859

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250312003344IQualified Speech Language PathologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274928023View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeNC

Reviews

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Frequently asked questions

Can I verify TAMARA WILLIARD (SLP,MA,CCC-SLP) with an NPI only?
You can start verification with NPI 1144361502 for TAMARA WILLIARD (SLP,MA,CCC-SLP), then check state licensing separately.
Can I rely on TAMARA WILLIARD (SLP,MA,CCC-SLP) being an active provider?
As of the registry snapshot, TAMARA WILLIARD (SLP,MA,CCC-SLP) is marked active.
What healthcare role does TAMARA WILLIARD (SLP,MA,CCC-SLP) hold?
Scheduling teams often label TAMARA WILLIARD (SLP,MA,CCC-SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect TAMARA WILLIARD (SLP,MA,CCC-SLP) on a map?
Expect Fort Worth, Texas as a primary anchor for TAMARA WILLIARD (SLP,MA,CCC-SLP) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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