Individual provider Active NPI

Anna Marie Mainiero

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1942813019
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9733 Issued in FL
Practice address
4707 W Gandy Blvd Ste 3
Tampa, FL 33611-3310
Phone
(813) 728-6601
Fax
(813) 354-4800
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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 SZ9733 FL Primary

Addresses

Primary practice location

4707 W Gandy Blvd Ste 3
Tampa, FL 33611-3310

Mailing address

4707 W Gandy Blvd Ste 3
Tampa, FL 33611-3310
Phone (813) 728-6601

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1942813019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 W GANDY BLVD STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113310",
            "telephone_number": "813-728-6601",
            "fax_number": "813-354-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 W GANDY BLVD STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113310",
            "telephone_number": "813-728-6601",
            "fax_number": "813-354-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINIERO",
        "first_name": "ANNA MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9733",
            "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 28, 2020; 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.