Tara Kaitlyn Fleming, MS
Individual provider Active NPI Speech-Language Pathologist · New Port Richey, FL
NPI 1053889873 · NPPES record last updated Nov 9, 2018
Key facts
- NPI
- 1053889873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ8912 (FL)
- Practice address
- 1726 Davenport Dr
New Port Richey, FL 34655-4228 - Phone
- (727) 493-2393
- NPI assigned
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ8912 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Speech, Physical, and Occupational Therapy, Inc | Speech-Language Pathologist | Past |
Accepting new patients |
| Speech Within Reach Therapy Services, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ8912 | FL | Yes |
Addresses
Primary practice location
1726 Davenport Dr
New Port Richey, FL 34655-4228
Mailing address
1726 Davenport Dr
New Port Richey, FL 34655-4228
Phone (727) 493-2393
Other providers in New Port Richey, FL
- Alexis Fitch
- Stephen Gerard Fitzgerald
- Susan Mary Fitzgerald
- FL Medical Center of New Port Richey PA
- Kailyn Flanders
- Jane Erika Fletcher-Ortman
- Flex Rehab LLC
- Florenda L. Fortner, M.D., LLC
- Oliver Concepcion Flores
- Florida Autism Center
All providers in New Port Richey, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.