Individual provider Active NPI

Andrea M Conard

  • Speech-Language Pathologist
  • St Petersburg, FL
National Provider Identifier
1164883187
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
111 2ND Ave NE
Suite 900
Saint Petersburg, FL 33701-3434
Phone
(813) 690-1327
NPI assigned
Mar 18, 2016
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

111 2ND Ave NE
Suite 900
Saint Petersburg, FL 33701-3434

Mailing address

7287 Orkney Ave N
Saint Petersburg, FL 33709-1340
Phone (727) 320-4604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003000436 FL Practitioner - Qualified Speech Language Pathologist 6608128657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Therapy Solutions LLCGroup PAC ID 0547749434, 15 clinicians
West Coast Therapy Specialist LLCGroup PAC ID 0648549618, 12 clinicians

Practice addresses (Care Compare)

4707 140TH Ave N
Suite 302
Clearwater, FL 33762-3840
Phone (727) 223-8978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Therapy Solutions LLC CurrentSince Feb 1, 2026 Accepting new patients
West Coast Therapy Specialist LLC Speech-Language Pathologist CurrentSince Mar 2, 2020 Accepting new patients
New Horizon Pediatric Services LLC CurrentSince Mar 2, 2020 Accepting new patients
Idependent Daily Living Services, Inc PastSince Jul 29, 2018 Accepting new patients

Locations

4707 140th Ave N
Ste 302
Clearwater, FL 33762
Phone (727) 223-8978

4707 140th Ave N
Ste 313
Clearwater, FL 33762
Phone (727) 223-8978

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1164883187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7287 ORKNEY AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337091340",
            "telephone_number": "727-320-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE",
            "address_2": "SUITE 900",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013434",
            "telephone_number": "813-690-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONARD",
        "first_name": "ANDREA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.