Individual provider Active NPI

Elizabeth Acquaah-Harrison

  • Developmental Therapist
  • Tampa, FL
National Provider Identifier
1659569580
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
550 N Reo St
Tampa, FL 33609-1061
Phone
(813) 374-2070
Fax
(813) 337-0937
NPI assigned
Oct 4, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI1440 FL
Developmental Therapist 222Q00000X SI 1440 FL
Developmental Therapist 222Q00000X NU Primary

Addresses

Primary practice location

550 N Reo St
Tampa, FL 33609-1061

Mailing address

550 N Reo St
Tampa, FL 33609-1061
Phone (813) 374-2070

Other practice location 1

602 Vonderburg Dr
Suite 201
Brandon, FL 33511-5900
Phone (813) 653-1149

Other identifiers 1

IdentifierTypeStateIssuer
SI 1440OtherFLSTATE OF FLORIDA LICENSE

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

State licenses

LicenseStateTypeSpecialty
SI 1440FLMDDevelopmental Therapist
SI1440FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659569580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091061",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091061",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Vonderburg Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115900",
            "country_code": "US",
            "telephone_number": "813-653-1149",
            "fax_number": "813-654-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACQUAAH-HARRISON",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI1440",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SI 1440",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA LICENSE",
            "identifier": "SI 1440",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.