Tamara Michelle Ortiz, MS,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14853 Issued in FL

Practice address

206 Nova Drive
Davenport, FL 33837

Phone

14076242509

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Growing Up Therapy

  • Speech-Language Pathologist
  • Davenport, FL
  • NPI 1760032353
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1013438373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NOVA DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372639",
            "telephone_number": "14076242509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NOVA DRIVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "14076242509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "TAMARA",
        "middle_name": "MICHELLE",
        "credential": "MS,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis Orozco
• Maria I Orta, DMD
• Orthopedic Center for Sports Medicine
• Javier Ortiz, PHARMD, RPH
• Orlando Ortiz, SFIDC
• Yashira Cristal Ortiz
• Olamide Oshikoya, PHARMD
• Sarai Otano
• Chrispin Okechi Otondi
• Our Friends Speech Therapy LLC

• Speech-Language Pathologist in Davenport, FL
• Providers in Davenport, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.