Individual provider Active NPI

Cynthia Marks, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1558483446
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4163 Issued in FL
Practice address
6035 Michaela Way
Tallahassee, FL 32303-7482
Phone
(850) 562-4543
NPI assigned
Apr 4, 2007
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA4163 FL Primary

Addresses

Primary practice location

6035 Michaela Way
Tallahassee, FL 32303-7482

Mailing address

2888 Mahan Drive
Suite 3
Tallahassee, FL 32308-5465
Phone (850) 727-7928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000206 FL Practitioner - Qualified Speech Language Pathologist 3779755772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3139 Eliza Rd
Tallahassee, FL 32308-6254
Phone (850) 727-7928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Therapy Services, LLC Speech-Language Pathologist CurrentSince Sep 2, 2011 Accepting new patients

Locations

2887 Crawfordville Hwy
Ste 4
Crawfordville, FL 32327

2888 Mahan Dr
Ste 3
Tallahassee, FL 32308
Phone (850) 402-6210

3139 Eliza Rd
Tallahassee, FL 32308
Phone (850) 727-7928

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1558483446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 MAHAN DRIVE",
            "address_2": "SUITE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085465",
            "telephone_number": "850-727-7928",
            "fax_number": "850-727-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 MICHAELA WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323037482",
            "telephone_number": "850-562-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "CYNTHIA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.