Linda Tatum-Riley, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 1245 Issued in FL

Practice address

6388 Silver Star Rd
Suite 2E
Orlando, FL 32818-3235

Phone

(407) 298-5300

Fax

(407) 296-0026

NPI assigned

Feb 1, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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 2

Other names 1

• Ms. Linda Tatum Former name

Medicare fee-for-service enrollment

Enrolled in FL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Orange Speech Pathologist, Inc.

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1073788691
  Medicare reassignment NPD Authorized official
• West Orange Speech Pathologist Inc.

  • Occupational Therapy Assistant
  • Orlando, FL
  • NPI 1043699911
  NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730226168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555907",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328555907",
            "telephone_number": "407-298-5300",
            "fax_number": "407-296-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388 SILVER STAR RD",
            "address_2": "SUITE 2E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183235",
            "telephone_number": "407-298-5300",
            "fax_number": "407-296-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM-RILEY",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER NUMBE",
            "identifier": "202579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL PROVIDER NUMBER",
            "identifier": "18348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "TATUM",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ha 407 541 4914 Tat
• Sindhuja Tatagari, DO
• Dana Tate-Solomon, PA-C
• Athena Marie Tate, PHARMD
• Janet M Tate, PAC MPAS MBA
• Kayla Diane Tatum
• Shannon Tatum, MA, CF-SLP
• Raksha Taubeh, APRN
• Sheryl Tavares
• Darioly Tavarez

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, 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 Jul 9, 2007; 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.