Tade L Wolfe, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2807 Issued in FL

Practice address

133 A Staff Drive
Ft. Walton Beach, FL 32548

Phone

(850) 664-7799

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Speech and Language Center, LLC

  • Speech-Language Pathologist
  • Navarre, FL
  • NPI 1134231848
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922210707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133A STAFF DRIVE",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "telephone_number": "850-664-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 A STAFF DRIVE",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32548",
            "telephone_number": "850-664-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "TADE",
        "middle_name": "L",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wise, M.D.
• Sharon Renee Wise, LMHC
• Matthew Wisniewski, PTA
• Andrea J Witt, CRNA
• Gavin Payne Wolfe
• Vicky Wolfe, PHD
• Megan Wolter, BCBA
• Carolyn V Woo, RPH
• Jean Woo, D.D.S.
• Hayley C Woods, RN

• Speech-Language Pathologist in Ft. Walton Beach, FL
• Providers in Ft. Walton Beach, 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 Jul 8, 2007; 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.