Tampa Bay Speech Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5356 Issued in FL

Legal business name

TAMPA BAY SPEECH SERVICES, LLC

Practice address

4223 W San Luis St
Tampa, FL 33629-7717

Phone

(813) 835-6085

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Maria Elena Padilla, MS, CCC-SLPNPI 1427253905

Title

President

Phone

(813) 835-6085

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Elena Padilla, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1427253905
  NPD (past) Authorized official
• Tracy A Coyle, MA, CCC-SLP

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1518162023
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1386849867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 W SAN LUIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297717",
            "telephone_number": "813-835-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 W SAN LUIS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297717",
            "telephone_number": "813-835-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-835-6085",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890791900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Tampa, FL
• Providers in Tampa, 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 Jun 30, 2008; 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.