Tina Marie Zeman, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102837 Issued in MO

Practice address

1 Crown Dr Ste 203
Kirksville, MO 63501-2510

Phone

(660) 216-0777

Fax

(660) 665-0260

NPI assigned

Nov 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Speech-Language and Learning Services LLC

  • Speech-Language Pathologist
  • Kirksville, MO
  • NPI 1477175990
  Authorized official Same address or phone
• Charles M Zeman DO PC

  • Surgery Physician
  • Kirksville, MO
  • NPI 1912236423
  NPD (past)
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  NPD (past)

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1780057034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014640",
            "telephone_number": "660-785-1834",
            "fax_number": "660-785-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROWN DR STE 203",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012510",
            "telephone_number": "660-216-0777",
            "fax_number": "660-665-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2814 S Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014640",
            "country_code": "US",
            "telephone_number": "660-785-1834",
            "fax_number": "660-785-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEMAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "102837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Image Optical
• Kinzey Young
• Mason R Zaccardi
• Zella Rudd (Terry's Medical Specialties)
• Charles Michael Zeman, D.O.
• Kristi Zentz, LPN
• Charles Zhang
• Angelynn Rose Zimmerman, ORT/L
• Benjamin J Zuk

• Speech-Language Pathologist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.