Madeline Jackson Canady, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13403 Issued in CA

Practice address

119 36TH Ave NE
Saint Petersburg, FL 33704-1433

Phone

(478) 972-6911

NPI assigned

Apr 5, 2019

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

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 Tree Speech Therapy Center, Inc.

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1720334501
  NPD (past)
• Speech Tree Therapy Center

  • Speech-Language Pathologist
  • Chula Vista, CA
  • NPI 1477233856
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1992267009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 36TH AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337041433",
            "telephone_number": "478-972-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 36TH AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337041433",
            "telephone_number": "478-972-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Camino Del Rio S Ste 308",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083824",
            "country_code": "US",
            "telephone_number": "619-546-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANADY",
        "first_name": "MADELINE",
        "middle_name": "JACKSON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobola T Campbell, M.D. MPH
• Rebecca Campbell, LMT
• Campus Clinicals LLC
• Can Community Health, Inc.
• Leslie Mary Canady
• Cara Cancio, LCSW
• Dahomey Odalis Cancio
• Candansk, LLC
• Nildalia Candelario
• Carina D. Canizares, DMD

• All providers in Saint Petersburg, FL
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.