Active NPI
Harriet Debra Bladuell, MSCCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1003867797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6065
- Practice address
- 13542 N Florida Ave
Suite 213F
Tampa, FL 33613-3263 - Phone
- (813) 323-5748
- Fax
- (813) 319-5835
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | SA6065 | FL | Primary |
Addresses
Primary practice location
13542 N Florida Ave
Suite 213F
Tampa, FL 33613-3263
Mailing address
13542 N Florida Ave
Suite 213F
Tampa, FL 33613-3263
Phone (813) 323-5748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01041950 | Other | ASHA CERTIFICATION NATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA6065 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapymatters Inc | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003867797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13542 N FLORIDA AVE",
"address_2": "SUITE 213F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133263",
"telephone_number": "813-323-5748",
"fax_number": "813-319-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13542 N FLORIDA AVE",
"address_2": "SUITE 213F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133263",
"telephone_number": "813-323-5748",
"fax_number": "813-319-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADUELL",
"first_name": "HARRIET",
"middle_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "MSCCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATION NATION",
"identifier": "01041950",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.