Tia M Spagnuolo, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

100 N Wilkes Barre Blvd Ste 201
Wilkes Barre, PA 18702-5255

Phone

(570) 406-9083

NPI assigned

Sep 20, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • Richmond, KY
  • NPI 1568452290
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1790269199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 2ND ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186442114",
            "telephone_number": "570-814-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WILKES BARRE BLVD STE 201",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025255",
            "telephone_number": "570-406-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 2nd St",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "PA",
            "postal_code": "186442114",
            "country_code": "US",
            "telephone_number": "570-814-3893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNUOLO",
        "first_name": "TIA",
        "middle_name": "M",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Joan Sommers
• Rupalben Sonani, M.D.
• Kelly Rose Sones, RPH
• Boyoung Song, M.D.
• Mary Sooy, PSY.D.
• Salvatore P Sparich, DO
• Special Care Smiles, LLC
• Howard L Spector, DO
• Robert Speicher, PTA
• Mary Beth Bridget Spellman, OTR/L

• Speech-Language Pathologist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.