Active NPI
Tiffany Gutierrez, MS, CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1760617575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10478
- Practice address
- 12502 Usf Pine Dr
Tampa, FL 33612 - Phone
- (813) 972-2250
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Tampa, FL
- NPI 1124072947
-
- Behavior Analyst
- Tampa, FL
- NPI 1750156519
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA10478 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Living Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Independent Living Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA10478 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12502 Usf Pine Dr
Tampa, FL 33612
Mailing address
12502 Usf Pine Dr
Tampa, FL 33612-9411
Phone (813) 972-2250
Other practice location 1
6508 Gunn Hwy
Tampa, FL 33625-4022
Phone (813) 963-6923 ext. 235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2019.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1760617575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12502 USF PINE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129411",
"telephone_number": "813-972-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12502 USF PINE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-972-2250"
}
],
"practiceLocations": [
{
"address_1": "6508 Gunn Hwy",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336254022",
"country_code": "US",
"telephone_number": "813-963-6923 x235",
"fax_number": "813-264-0768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "TIFFANY",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10478",
"primary": true
}
],
"identifiers": [],
"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 Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.