NPIMap

Organization Active NPI

Florida State University

Doing business as FSU Speech & Hearing Clinic

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1053309807
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 5640 Issued in FL
Legal business name
FLORIDA STATE UNIVERSITY
Doing business as
FSU Speech & Hearing Clinic
Practice address
201 W Bloxham St Warren Building
Tallahassee, FL 32306-1200
Phone
(850) 644-2238
Fax
(850) 644-8994
NPI assigned
Oct 6, 2005
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Shrylan Alexander
Title
Office Administrator
Phone
(850) 644-8445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 5640 FL Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

201 W Bloxham St Warren Building
Tallahassee, FL 32306-1200

Mailing address

201 W Bloxham St Warren Building
Tallahassee, FL 32306-1200
Phone (850) 644-2238

Other practice location 1

2390 Phillips Rd
Tallahassee, FL 32306-1200
Phone (850) 645-3103

Other identifiers 1

IdentifierTypeStateIssuer
880606300MedicaidFL

Other names 1

  • FSU Speech & Hearing Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830000258 FL Part B Supplier - Clinic/Group Practice 2163795964 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tallahassee, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Multidisciplinary Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1053309807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BLOXHAM ST WARREN BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323061200",
            "telephone_number": "850-644-2238",
            "fax_number": "850-644-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BLOXHAM ST WARREN BUILDING",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323061200",
            "telephone_number": "850-644-2238",
            "fax_number": "850-644-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323061200",
            "country_code": "US",
            "telephone_number": "850-645-3103",
            "fax_number": "850-644-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SHRYLAN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-644-8445"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5640",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880606300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSU Speech & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FSU Speech & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.