Active NPI
Tara Nicole Crotwell, M.S.
- Speech-Language Pathologist
- Pensacola, FL
National Provider Identifier
1194173211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ 7553
- Practice address
- 1108 Airport Blvd Ste a
Pensacola, FL 32504-8623 - Phone
- (850) 471-1005
- NPI assigned
- May 31, 2016
- Last updated
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ 7553 | FL | Primary |
Addresses
Primary practice location
1108 Airport Blvd Ste a
Pensacola, FL 32504-8623
Mailing address
1016 Towle Cir
Pensacola, FL 32514-1925
Phone (205) 335-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ 7553 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1194173211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 TOWLE CIR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325141925",
"telephone_number": "205-335-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 AIRPORT BLVD STE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048623",
"telephone_number": "850-471-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTWELL",
"first_name": "TARA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ 7553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
- Sherry Lea Crosby, APRN
- Cross Creek Health Care Associates LLC (University Hills Health and Rehabilitation)
- Bryan Cross, D.O.
- Earl Jay Crosswright Jr., M.D.
- Cindy R Crothers, FNP-C
- Michael Andrew Crounse, MD
- Jean Katherine Crowder, MS,CCC-SLP
- Peter E Crowl, P.A.
- Kathryn Kristina Crowley, ARNP
- Adam James Crowson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.