Tina Porreca, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8085 Issued in FL

Practice address

16697 Shell Bay Dr
Land O Lakes, FL 34638-5749

Phone

(727) 631-2466

Fax

(813) 345-2896

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Transnota Inc

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1093928343

  Developmental Therapist

  NPD
• Transnota Inc

  • Developmental Therapist
  • Tampa, FL
  • NPI 1619617040
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1285722538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16697 SHELL BAY DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385749",
            "telephone_number": "727-631-2466",
            "fax_number": "813-345-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16697 SHELL BAY DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385749",
            "telephone_number": "727-631-2466",
            "fax_number": "813-345-2896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7402 N. 56th Street",
            "address_2": "Suite 300 B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336177733",
            "country_code": "US",
            "telephone_number": "813-220-7468",
            "fax_number": "813-570-7939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13200 McCormick Drive",
            "address_2": "Suite E-1",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336263010",
            "country_code": "US",
            "telephone_number": "813-814-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORRECA",
        "first_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA 8085",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890827300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "FT923Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA #",
            "identifier": "S3069",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010713100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "222Q00000X  EARLY INTERVENTIONIST",
            "identifier": "010713100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie J Plourde, MS
• Albina Pogorelova
• James Kevin Poitras, M.D.
• Savannah Policandriotes
• Marc A. Porrata, MSW
• Powell Supportive Services, Inc
• Nicole Powers, APRN
• Practical Psychiatric Solutions
• Kathryn Sierra Prado, DMD
• Premium Transportion, LLC

• Speech-Language Pathologist in Land O Lakes, FL
• Providers in Land O Lakes, 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 Jan 12, 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.

Verify at the official NPI Registry.