Tavvy Speech Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TAVVY SPEECH THERAPY SERVICES LLC

Practice address

11420 Campfield Cir
Jacksonville, FL 32256-3907

Phone

(904) 910-1065

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Leigh Tavrisov, M.S. CCC-SLPNPI 1467029009

Title

Owner, Speech Language Pathologist

Phone

(904) 910-1065

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Leigh Tavrisov, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1467029009
  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1467234005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 CAMPFIELD CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563907",
            "telephone_number": "904-910-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 CAMPFIELD CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563907",
            "telephone_number": "904-910-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVVY SPEECH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "TAVRISOV",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-910-1065",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Marie Tavarez
• Akira Taveras
• Lissette Taveras
• Jerry Tavornwattana
• Kristine Leigh Tavrisov, M.S. CCC-SLP
• Reema Kamal Tawfiq, MD
• Alyssa Tawil, DO
• Patrick Tawil
• Rabih Tawk, MD
• Haulek Tawmging, ,DNP, ARNP, PMHNP-BC

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, 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 Oct 18, 2023; 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.