Individual provider Active NPI

Tinita O Kearney, PH.D., CCC-SLP/L

  • Speech-Language Pathologist
  • Upper Marlboro, MD
National Provider Identifier
1548644156
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07027 Issued in MD
Practice address
3716 Chancelsors Dr
Upper Marlboro, MD 20772-8246
Phone
(240) 547-9031
NPI assigned
Jul 13, 2015
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 SLP000484 DC
Speech-Language Pathologist 235Z00000X 07027 MD Primary

Addresses

Primary practice location

3716 Chancelsors Dr
Upper Marlboro, MD 20772-8246

Mailing address

8201 Corporate Dr.
Suite 610 PMB 1031
Hyattsville, MD 20785

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
07027MDMDClinical Psychologist
SLP000484DCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Final Piece Speech and Language Therapy, LLC Speech-Language Pathologist CurrentSince Mar 19, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1548644156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 CORPORATE DR.",
            "address_2": "SUITE 610 PMB 1031",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 CHANCELSORS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728246",
            "telephone_number": "240-547-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "TINITA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000484",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.