Individual provider Active NPI

Enid Staller Gildar, M.A., CCC

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1265403885
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA235 Issued in FL
Practice address
8019 N Himes Ave
Suite 300
Tampa, FL 33614-2712
Phone
(813) 933-7300
Fax
(813) 933-3550
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SA235 FL Primary

Addresses

Primary practice location

8019 N Himes Ave
Suite 300
Tampa, FL 33614-2712

Mailing address

8019 N Himes Ave
Suite 300
Tampa, FL 33614-2712
Phone (813) 933-7300

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA235FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enid Gildar, Ma, CCC,PA Speech-Language Pathologist PastSince Jan 1, 1989 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265403885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142712",
            "telephone_number": "813-933-7300",
            "fax_number": "813-933-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 N HIMES AVE",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142712",
            "telephone_number": "813-933-7300",
            "fax_number": "813-933-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDAR",
        "first_name": "ENID",
        "middle_name": "STALLER",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.