NPIMap

Organization Active NPI

United Cerebral Palsy of Tampa Bay, Inc

  • Early Intervention Provider Agency
  • Tampa, FL
National Provider Identifier
1710223532
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
UNITED CEREBRAL PALSY OF TAMPA BAY, INC
Practice address
2215 E Henry Ave
Tampa, FL 33610-4432
Phone
(813) 239-1179
Fax
(813) 237-3091
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Laura J White, M.S., CCC/SLP
Title
Director of Program Development
Phone
(813) 239-1179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2215 E Henry Ave
Tampa, FL 33610-4432

Mailing address

2215 E Henry Ave
Tampa, FL 33610-4432
Phone (813) 239-1179

Other identifiers 1

IdentifierTypeStateIssuer
811441200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Achieve Tampa Bay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1710223532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104432",
            "telephone_number": "813-239-1179",
            "fax_number": "813-237-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104432",
            "telephone_number": "813-239-1179",
            "fax_number": "813-237-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF TAMPA BAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAM DEVELOPMENT",
        "authorized_official_telephone_number": "813-239-1179",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811441200",
            "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 Dec 26, 2012; 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.