Active NPI
Caroline's Speech Retreat LLC
- Speech-Language Pathologist
- Tallahassee, FL
National Provider Identifier
1053156893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CAROLINE'S SPEECH RETREAT LLC
- Practice address
- 2365 Centerville Rd
Tallahassee, FL 32308-4317 - Phone
- (850) 212-2404
- NPI assigned
- Jun 25, 2024
- Last updated
- Jul 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline Tindale, M.S, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (850) 212-2404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2365 Centerville Rd
Tallahassee, FL 32308-4317
Mailing address
3776 Forsythe Way
Tallahassee, FL 32309-3049
Phone (850) 212-2404
Other names 1
- Caroline's Speech Retreat LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Tallahassee, FL
- NPI 1770771032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1053156893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 FORSYTHE WAY",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323093049",
"telephone_number": "850-212-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 CENTERVILLE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084317",
"telephone_number": "850-212-2404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINE'S SPEECH RETREAT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "TINDALE",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "850-212-2404",
"authorized_official_credential": "M.S, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Caroline's Speech Retreat LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.