Seaside Speech Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SEASIDE SPEECH SERVICES

Practice address

4007 Milano Rd
Panama City, FL 32405-3208

Phone

(352) 572-4768

NPI assigned

May 2, 2025

Last updated

Aug 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristy Tabor Alvarado, MA CCC-SLPNPI 1700513066

Title

Owner

Phone

(352) 574-4768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristy Tabor Alvarado

  • Speech-Language Pathologist
  • Panama City Beach, FL
  • NPI 1700513066
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1831988310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 MILANO RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053208",
            "telephone_number": "352-572-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 MILANO RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053208",
            "telephone_number": "352-572-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "TABOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-574-4768",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Ann Scott, IDMT
• Bobbi Amber Scruggs, CPNP-PC
• Sea Oats Medical Clinic
• Debbie Carmella Seago
• Monica Seal, DPT
• Seawind Medical Clinic LLC
• Second Chance of Northwest Florida
• Corinne Marie Seemuth, LMT
• Select Specialty Hospital - Panama City Inc
• Deena G. Self, LMHC

• Speech-Language Pathologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.