Active NPI
Natalie Pugh Soueidan, M.S., CCC-SLP
- Speech-Language Pathologist
- Lutz, FL
National Provider Identifier
1487840625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 9744
- Practice address
- 18115 N US Highway 41 Ste 800
Lutz, FL 33549-6475 - Phone
- (813) 848-0341
- Fax
- (813) 540-8271
- NPI assigned
- Sep 21, 2007
- Last updated
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA 9744 | FL | Primary |
Addresses
Primary practice location
18115 N US Highway 41 Ste 800
Lutz, FL 33549-6475
Mailing address
6086 Country Club Rd
Wesley Chapel, FL 33544-3709
Phone (813) 541-8631
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 9744 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Alliance, Inc | Developmental Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Wesley Chapel, FL
- NPI 1841516366
Developmental Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1487840625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6086 COUNTRY CLUB RD",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335443709",
"telephone_number": "813-541-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18115 N US HIGHWAY 41 STE 800",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496475",
"telephone_number": "813-848-0341",
"fax_number": "813-540-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUEIDAN",
"first_name": "NATALIE",
"middle_name": "PUGH",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 9744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.