Active NPI
Linda Bernice Allen, M.A. CCC
- Speech-Language Pathologist
- St Petersburg, FL
National Provider Identifier
1811014277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6085
- Practice address
- 255 59TH St N
St Petersburg, FL 33710-8539 - Phone
- (727) 345-2775
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 6085 | FL | Primary |
Addresses
Primary practice location
255 59TH St N
St Petersburg, FL 33710-8539
Mailing address
6031 64TH Ave
Pinellas Park, FL 33781-5324
Phone (727) 408-4108
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6085 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1811014277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 64TH AVE",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815324",
"telephone_number": "727-408-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 59TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337108539",
"telephone_number": "727-345-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LINDA",
"middle_name": "BERNICE",
"credential": "M.A. CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.