CARROLLWOOD SPEECH AND SWALLOWING THERAPY, PLLC (NPI# 1366958977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366958977 |
| Entity Type | Organization |
| Organization Name | CARROLLWOOD SPEECH AND SWALLOWING THERAPY, PLLC |
| Other Organization Name | CARROLLWOOD SPEECH AND SWALLOWING THERAPY |
| Practice Address |
14502 N Dale Mabry Hwy Ste 200 Tampa FL 33618-2040 |
| Practice Telephone | 8138124463 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | TIMOTHY STOCKDALE (OWNER) |
| Authorized Official Telephone | 8138124463 |
| Authorized Official Credential | MS, CCC-SLP |
| 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 | 018980200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 4TM44 | 01 |
| Other Name | Type Code |
|---|---|
| Carrollwood Speech & Swallowing Therapy | Doing Business As Name - Organization |
| Carrollwood Speech and Swallowing Therapy | Doing Business As Name - Organization |
| Street Address |
14502 N DALE MABRY HWY STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770875528 | Rance L. Harbor | Psychologist | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2011-05-12 |
| 1083269666 | Jaclyn Michelle Hall | Counselor | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-08-09 |
| 1811554736 | Dearly Loved Counseling LLC | Social Worker | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-05-27 |
| 1104483254 | Terik Greensberry | Social Worker | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-05-23 |
| 1497212294 | Hra Solutions Inc | Case Manager/Care Coordinator | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-02-27 |
| 1538626858 | Rebeca V Espinoza | Case Manager/Care Coordinator | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-02-22 |
| 1508343534 | Lab-athena, Inc | Home Health | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2018-07-23 |
| 1336646413 | David E Brune | Counselor | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2018-04-06 |
| 1851803126 | Kim Michele Martinez | Counselor | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2017-10-26 |
| 1275082802 | Timothy Stockdale | Speech-Language Pathologist | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| 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 |
|---|---|---|---|---|
| 1942813019 | Anna Marie Mainiero | Speech-Language Pathologist | 4707 W Gandy Blvd Ste 3, Tampa, FL 33611-3310 | 2020-08-28 |
| 1992322028 | Anna Marie Kresek | Speech-Language Pathologist | 8768 Key Biscayne Dr Apt 304, Tampa, FL 33614-2220 | 2020-07-06 |
| 1760006456 | Marina Eshak | Speech-Language Pathologist | 4915 S West Shore Blvd, Tampa, FL 33611-3329 | 2020-05-29 |
| 1629602677 | Kirsten Osborn | Speech-Language Pathologist | 2111 W Swann Ave Ste A1, Tampa, FL 33606-2477 | 2020-02-28 |
| 1437719531 | Kathleen Trimpert | Speech-Language Pathologist | 3605 S Clark Ave, Tampa, FL 33629-8518 | 2019-06-19 |
| 1154980381 | Nilsa Ivette Agrait | Speech-Language Pathologist | 16337 Compton Palms Dr, Tampa, FL 33647-1539 | 2019-06-11 |
| 1477015485 | Christina S Bourbon | Speech-Language Pathologist | 607 S Westland Ave Apt 10, Tampa, FL 33606-2460 | 2019-04-01 |
| 1922579457 | Milica Savic | Speech-Language Pathologist | 1510 W Carmen St Apt 3327, Tampa, FL 33606-0017 | 2018-12-10 |
| 1477022077 | Caitlin Street Al-mutawa | Speech-Language Pathologist | 10420 Mckinley Dr Apt 4301, Tampa, FL 33612-6436 | 2018-11-13 |
| 1528536653 | Jenna Garrick | Speech-Language Pathologist | 2101 W Hills Ave, Tampa, FL 33606-3120 | 2018-11-07 |
| Find all providers in TAMPA | ||||
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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.