Tandi Leigh Poitevint, M.S.,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104163 Issued in TX

Practice address

620 N Alleghaney Ave
Odessa, TX 79761-4408

Phone

(432) 332-8244

Fax

(432) 580-7428

NPI assigned

Oct 13, 2009

Last updated

Aug 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Permian Basin Rehabilitation Center

  • Audiologist
  • Odessa, TX
  • NPI 1992918585
  NPD (past)
• Permian Basin Rehabilitation Center for Crippled Children and Adults

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Odessa, TX
  • NPI 1104958701

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1851626618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SAN ANTONIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073146",
            "telephone_number": "432-631-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ALLEGHANEY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614408",
            "telephone_number": "432-332-8244",
            "fax_number": "432-580-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITEVINT",
        "first_name": "TANDI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "- STATE LICENSE NUMBER",
            "identifier": "104163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery M Pinnow, M.D.
• Karina Pique, DO
• Tabatha J Pittman, PA-C
• Planned Parenthood of West Texas
• Hanah Lee Pleines, FNP
• James Harold Pollard, OTR
• Jolie Suzanne Pollard, MS,CCC/SLP
• Dustin Pool, PHARM D
• Theresia Pope
• Kevin E Porter, D.D.S., M.D.

• Speech-Language Pathologist in Odessa, TX
• Providers in Odessa, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.