Suwannee Bend Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 13604 Issued in FL

Legal business name

SUWANNEE BEND SERVICES

Practice address

220 N Main St Ste 2
Chiefland, FL 32626-0870

Phone

(352) 490-7500

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By 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

Frank Martin

Title

Manager

Phone

(352) 333-3995

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.

• Todd Matthew Carson, OTR/L

  • Occupational Therapist
  • Chiefland, FL
  • NPI 1508815572
  NPD (past)

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1588032270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260870",
            "telephone_number": "352-490-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260870",
            "telephone_number": "352-490-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWANNEE BEND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-333-3995"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 13604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Integrated Medical PL
• Southeastern Integreated Medical P.L.
• Alison Stephens, MSN, APRN, FNP-BC
• Joan Stjean, APRN
• Robert Charles Sutton, C.O.,L.O.
• Carmen A. Tozzo, PHD
• Trenton Medical Center Inc (Palms Medical Group)
• Trenton Medical Center, Inc. (Palms Pharmacy of Chiefland)
• Kiambe B Tunsil
• Mary Ellen Valletta, MD

• Speech-Language Pathologist in Chiefland, FL
• Providers in Chiefland, 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 Sep 11, 2015; 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.