Active NPI
Kristin Stiggleman
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1902184559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA17048
- Practice address
- 10501 Rochester Way
Tampa, FL 33626-1711 - Phone
- (813) 833-0090
- NPI assigned
- Aug 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI1966 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ8513 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA17048 | FL | Primary |
Addresses
Primary practice location
10501 Rochester Way
Tampa, FL 33626-1711
Mailing address
10501 Rochester Way
Tampa, FL 33626-1711
Phone (813) 833-0090
Other practice location 1
4907 NW 43rd St Ste C
Gainesville, FL 32606-2007
Phone (352) 372-0047
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI1966 | FL | MD | Speech-Language Assistant |
| SA17048 | FL | MD | Speech-Language Pathologist |
| SZ8513 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Spot | Speech-Language Pathologist | Past | Accepting new patients |
| Acg Therapy Center, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Tampa, FL
- NPI 1902128069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1902184559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 ROCHESTER WAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261711",
"telephone_number": "813-833-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 ROCHESTER WAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261711",
"telephone_number": "813-833-0090"
}
],
"practiceLocations": [
{
"address_1": "4907 NW 43rd St Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326062007",
"country_code": "US",
"telephone_number": "352-372-0047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIGGLEMAN",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI1966",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ8513",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA17048",
"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 27, 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.