Individual provider Active NPI

Tiffany Bartlett, SLP

  • Speech-Language Pathologist
  • St Petersburg, FL
National Provider Identifier
1477249555
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ13330 Issued in FL
Practice address
9500 Koger Blvd N Ste 213
St Petersburg, FL 33702-2466
Phone
(727) 418-0588
Fax
(727) 279-4977
NPI assigned
Apr 12, 2023
Reactivated
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ13330 FL Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

9500 Koger Blvd N Ste 213
St Petersburg, FL 33702-2466

Mailing address

2010 McClelland Ave
Tampa, FL 33621-1600
Phone (727) 418-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1477249555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MCCLELLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336211600",
            "telephone_number": "727-418-0588",
            "fax_number": "727-279-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KOGER BLVD N STE 213",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022466",
            "telephone_number": "727-418-0588",
            "fax_number": "727-279-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "TIFFANY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "deactivation_date": "2026-09-14",
        "reactivation_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ13330",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.