MR. MATTHEW TISDALE (NPI# 1104288034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104288034 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW TISDALE |
| Practice Address |
636 Silvershore Dr Pensacola FL 32507-3345 |
| Practice Telephone | 8582058834 |
| Mailing Telephone | 8582058834 |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA13921 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
636 SILVERSHORE DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113926 | Jennifer Messer | Speech-Language Pathologist | 7830 Pine Forest Rd, Pensacola, FL 32526-8404 | 2020-08-05 |
| 1760007314 | April Wade Pope | Speech-Language Pathologist | 542 Northcreek Dr, Pensacola, FL 32514-9523 | 2020-06-10 |
| 1518512532 | Kristin E. Schultz | Speech-Language Pathologist | 874 Upham Ct, Pensacola, FL 32508-1016 | 2019-08-06 |
| 1245899327 | Elizabeth Jewel Jones | Speech-Language Pathologist | 1290 E Nine Mile Rd, Pensacola, FL 32514-1653 | 2019-06-11 |
| 1285155812 | Megan Beasley | Speech-Language Pathologist | 1717 N E St Ste 236, Pensacola, FL 32501-6390 | 2017-07-05 |
| 1922451319 | Brianne Lee Salzman | Speech-Language Pathologist | 5500 Navaho Dr, Pensacola, FL 32507-8742 | 2016-07-20 |
| 1265883565 | Pamela Kay Windham | Speech-Language Pathologist | 16301 N Shore Dr, Pensacola, FL 32507-8373 | 2016-06-28 |
| 1427407352 | Tamara Bidstrup | Speech-Language Pathologist | 101 E Romana St Apt 406, Pensacola, FL 32502-5861 | 2016-06-10 |
| 1821455874 | Melissa Simmons | Speech-Language Pathologist | 1355 Pinnacle Dr Apt A, Pensacola, FL 32504-8081 | 2016-01-21 |
| 1568828911 | Brandy Nicole Ward | Speech-Language Pathologist | 7939 Woodbrook Rd, Pensacola, FL 32526-7866 | 2016-01-14 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.