Tiffany Jeneen Surman, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP5590 Issued in AZ

Practice address

3141 N 3Rd Ave Ste 100
Phoenix, AZ 85013-4351

Phone

(785) 375-5143

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tiffany J Bliesner Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• District Medical Group, Inc

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1093948275
  NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• Advanced Therapy Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1972659399
  NPD (past)
• Mentis Reo, LLC.

  • Developmental Disabilities Clinic/Center
  • Gilbert, AZ
  • NPI 1609541283
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1710178298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W STEED RDG",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850700",
            "telephone_number": "785-375-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 N 3RD AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134351",
            "telephone_number": "785-375-5143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857195813",
            "country_code": "US",
            "telephone_number": "520-232-8358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURMAN",
        "first_name": "TIFFANY",
        "middle_name": "JENEEN",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569676",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BLIESNER",
            "middle_name": "J",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Surgicalrx Nutrition Therapy PLLC
• Surgicare, LLC
• Surgicenters of America LP
• Ritika Suri, MD
• Kyle Dean Surian
• Harrison Surprise
• Tahonna Latreise Surrell, MS
• Surrender Wellness Center
• Kiran Suryadevara
• Susan del Sordi Staats, DO PLLC

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.