Individual provider Active NPI

Christine A Pannozzo

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1841074317
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17690 Issued in FL
Practice address
13200 McCormick Dr Ste E-1
Tampa, FL 33626-3010
Phone
(813) 814-5971
Fax
(813) 814-5972
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA17690 FL Primary

Addresses

Primary practice location

13200 McCormick Dr Ste E-1
Tampa, FL 33626-3010

Mailing address

2509 Skipper TRL
Clearwater, FL 33761-1117
Phone (813) 310-6579

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA17690FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transnota Inc Multi-Specialty CurrentSince Sep 5, 2023 Accepting new patients
Transnota Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

13200 McCormick Dr
Ste E1
Tampa, FL 33626
Phone (813) 814-5971

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1841074317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 SKIPPER TRL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611117",
            "telephone_number": "813-310-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 MCCORMICK DR STE E-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263010",
            "telephone_number": "813-814-5971",
            "fax_number": "813-814-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNOZZO",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17690",
            "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 Aug 24, 2023; 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.