Organization Active NPI

STG Kiddos Early Stimulation LLC

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1821926387
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
STG KIDDOS EARLY STIMULATION LLC
Practice address
12000 N Dale Mabry Hwy FL USA
Tampa, FL 33618-3311
Phone
(502) 572-9938
Fax
(502) 572-9938
NPI assigned
May 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Yamira Rivero Basnueva, RIVERO
Title
Founder & Owner
Phone
(502) 572-9938

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224ZE0001X
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

12000 N Dale Mabry Hwy FL USA
Tampa, FL 33618-3311

Mailing address

12000 N Dale Mabry Hwy FL USA
Tampa, FL 33618-3311
Phone (502) 572-9938

National Provider Directory

National Provider Directory

Locations

12000 N Dale Mabry Hwy
Fl Usa
Tampa, FL 33618
Phone (502) 572-9938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1821926387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 N DALE MABRY HWY FL USA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183311",
            "telephone_number": "502-572-9938",
            "fax_number": "502-572-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 N DALE MABRY HWY FL USA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183311",
            "telephone_number": "502-572-9938",
            "fax_number": "502-572-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STG KIDDOS EARLY STIMULATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "RIVERO BASNUEVA",
        "authorized_official_first_name": "YAMIRA",
        "authorized_official_title_or_position": "FOUNDER & OWNER",
        "authorized_official_telephone_number": "502-572-9938",
        "authorized_official_credential": "RIVERO"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 13, 2026; 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.