Active NPI
Tanzania Christian
- Speech-Language Pathologist
- North Miami Beach, FL
National Provider Identifier
1194330837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ12419
- Practice address
- 909 N Miami Beach Blvd Ste 503
North Miami Beach, FL 33162-3712 - Phone
- (786) 623-4053
- NPI assigned
- Sep 10, 2020
- Last updated
- Dec 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI4406 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ12419 | FL | Primary |
Addresses
Primary practice location
909 N Miami Beach Blvd Ste 503
North Miami Beach, FL 33162-3712
Mailing address
820 NE 159TH St
North Miami Beach, FL 33162-4430
Phone (305) 528-3163
Other practice location 1
3400 Coral Way
Miami, FL 33145-3053
Phone (305) 856-1999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI4406 | FL | MD | Speech-Language Assistant |
| SZ12419 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1194330837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 NE 159TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624430",
"telephone_number": "305-528-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N MIAMI BEACH BLVD STE 503",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623712",
"telephone_number": "786-623-4053"
}
],
"practiceLocations": [
{
"address_1": "3400 Coral Way",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331453053",
"country_code": "US",
"telephone_number": "305-856-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "TANZANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI4406",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ12419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.