Active NPI
Cristy McIver
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1811267545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 10467
- Practice address
- 4605 Grove Point Dr
Tampa, FL 33624 - Phone
- (734) 536-9314
- NPI assigned
- Jan 11, 2012
- 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 10467 | FL | Primary |
Addresses
Primary practice location
4605 Grove Point Dr
Tampa, FL 33624
Mailing address
3451 Queens St Apt 128
Sarasota, FL 34231-8257
Other practice location 1
741 S Beneva Rd
Sarasota, FL 34232-2411
Phone (941) 957-0310
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 10467 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1811267545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 QUEENS ST APT 128",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342318257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 GROVE POINT DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33624",
"telephone_number": "734-536-9314"
}
],
"practiceLocations": [
{
"address_1": "741 S Beneva Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342322411",
"country_code": "US",
"telephone_number": "941-957-0310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCIVER",
"first_name": "CRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 10467",
"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 Apr 10, 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.