PEDIATRIA HEALTHCARE, LLC (NPI# 1255583993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255583993 |
| Entity Type | Organization |
| Organization Name | PEDIATRIA HEALTHCARE, LLC |
| Practice Address |
1236 Blountstown Hwy Building 5 Tallahassee FL 32304-2715 |
| Mailing Address |
5185 Peachtree Pkwy Suite 350 Norcross GA 30092-6542 |
| Practice Telephone | 8507013920 |
| Practice Fax Number | 8507013924 |
| Mailing Telephone | 7708401966 |
| Mailing Fax Number | 7708401901 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | MS. SUSAN ELIZABETH DIGNAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 7708401966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 240024300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120063 | Pediatria Healthcare, LLC | Clinic/Center | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2014-11-04 |
| 1770927345 | Pediatria Healthcare, LLC | Clinic/Center | 1183 Jacks Run Rd, North Versailles, PA 15137-0000 | 2013-04-25 |
| 1134563711 | Pediatria Healthcare, LLC | Home Health | 1185 Jacks Run Rd, S.r. 48, North Versailles, PA 15137-2725 | 2013-04-25 |
| 1508168170 | Pediatria Healthcare, LLC | Home Health | 1167 N Washington St Ste E, Wilkes Barre, PA 18705-1856 | 2010-12-02 |
| 1366684185 | Pediatria Healthcare, LLC | Nursing Care | 2935 N Ashley St Ste 103, Valdosta, GA 31602-1786 | 2009-03-25 |
| 1528210267 | Pediatria Healthcare, LLC | Physical Therapist | 1236 Blountstown Hwy, Building 5, Tallahassee, FL 32304-2715 | 2008-10-14 |
| 1427225523 | Pediatria Healthcare, LLC | Home Health | 7 Harvard St Ste 220, Brookline, MA 02445 | 2008-05-08 |
| 1811162639 | Pediatria Healthcare, LLC | Clinic/Center | 353 Markle Dr, Harrisburg, PA 17111-2762 | 2008-04-23 |
| 1518132406 | Pediatria Healthcare, LLC | Clinic/Center | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2008-04-23 |
| 1568633071 | Pediatria Healthcare, LLC | Nursing Care | 2420 Double Churches Rd Ste B, Columbus, GA 31909-2984 | 2008-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIA HEALTHCARE, LLC | 5185 Peachtree Parkway, Suite 350, Norcross, GA 30092-6545 |
| Street Address |
1236 BLOUNTSTOWN HWY BUILDING 5 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528210267 | Pediatria Healthcare, LLC | Physical Therapist | 1236 Blountstown Hwy, Building 5, Tallahassee, FL 32304-2715 | 2008-10-14 |
| 1932468493 | Penny Leigh Tower | Respiratory Therapist, Registered | 1236 Blountstown Hwy, Tallahassee, FL 32304-2715 | 2012-05-03 |
| 1508163155 | Marie Elaine Tucker | Respiratory Therapist, Registered | 1236 Blountstown Hwy, Tallahassee, FL 32304-2715 | 2011-02-17 |
| 1366673972 | Suzie Humphrey | Respiratory Therapist, Registered | 1236 Blountstown Hwy, Park 20 West, Bldg 5, Tallahassee, FL 32304-2715 | 2009-07-30 |
| 1720214927 | Marcy Louise Macdonell | Respiratory Therapist, Registered | 1236 Blountstown Hwy, Tallahassee, FL 32304-2715 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| 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 |
|---|---|---|---|---|
| 1386260412 | Jennifer Peters | Speech-Language Pathologist | 883 Hill Roost Rd, Tallahassee, FL 32312-6716 | 2020-06-24 |
| 1003431826 | Darcy Watson | Speech-Language Pathologist | 2031 Gardenbrook Ln, Tallahassee, FL 32301-3240 | 2020-06-09 |
| 1821636770 | Melissa Martin | Speech-Language Pathologist | 1132 Greensward Dr, Tallahassee, FL 32312-6775 | 2019-12-11 |
| 1275175259 | Creating Little Talkers, LLC | Speech-Language Pathologist | 2603 Chandalar Ln, Tallahassee, FL 32311-9436 | 2019-10-11 |
| 1235795899 | Lindsay Wright Adcox | Speech-Language Pathologist | 2930 Capital Medical Blvd, Tallahassee, FL 32308-4408 | 2019-05-19 |
| 1942710942 | Ashlee L Johann | Speech-Language Pathologist | 3139 Eliza Rd, Tallahassee, FL 32308-6254 | 2017-10-04 |
| 1972030831 | Kelsey Marie Young | Speech-Language Pathologist | 2711 Capital Medical Blvd. Suite E, Tallahassee, FL 32308-4446 | 2017-05-22 |
| 1447784376 | Leesa Marie Marante | Speech-Language Pathologist | 2107 Great Oak Dr, Tallahassee, FL 32303-4309 | 2017-04-18 |
| 1831638196 | Tamala Hutchinson Close | Speech-Language Pathologist | 2048 Gardenbrook Ln, Tallahassee, FL 32301 | 2017-02-20 |
| 1356880058 | Vanessa Lauren Waters | Speech-Language Pathologist | 2890 Green Forest Ln, Tallahassee, FL 32312-1918 | 2017-02-15 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
Please comment or provide details below to improve the information on PEDIATRIA HEALTHCARE, LLC.
| 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.