Tiara L Cottle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9306 Issued in FL

Practice address

2814 Lincoln St
Hollywood, FL 33020-3834

Phone

(786) 439-5550

Fax

(888) 335-8617

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1205873213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 LINCOLN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203834",
            "telephone_number": "786-439-5550",
            "fax_number": "888-335-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 LINCOLN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203834",
            "telephone_number": "786-439-5550",
            "fax_number": "888-335-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "TIARA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9306",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ3905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "SA 9306",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891202501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "12080616",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891202500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slp360.com",
            "affiliation": "N",
            "endpointDescription": "SLP360",
            "address_1": "2814 Lincoln St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330203834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesus Nicolas Cosme
• Laura Costa, LCSW
• Cosy Homes, LLC (Hollywood Beach Retirement Home)
• Mario A Coto
• Doreen Cott, A.P.
• Kimber Counts
• County Line Medical Supply, Inc.
• County Medical Services Inc
• County Medical Supply Inc.
• Simone Racquel Cousins, PHARMD

• Speech-Language Pathologist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.