KACEY GARCIA POULIN (NPI# 1518472901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518472901 |
| Entity Type | Individual |
| Full Name | KACEY GARCIA POULIN |
| Credential | MA,CCC-SLP |
| Practice Address |
4202 E Fowler Ave PCd2000 Tampa FL 33620-0001 |
| Mailing Address |
4202 E Fowler Ave Stop PCd1017 Tampa FL 33620-6750 |
| Practice Telephone | 8138101278 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA5461 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | S2804 | 01 |
| FL | 023666900 | 05 |
| Street Address |
4202 E FOWLER AVE PCD2000 |
| City | TAMPA |
| State | FL |
| Zip Code | 33620-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145542 | Ramon Ramirez | Specialist/Technologist | 4202 E Fowler Ave., Ath 100, Tampa, FL 33620 | 2018-12-17 |
| 1093818908 | Theresa Hnath-chisolm | Audiologist | 4202 E Fowler Aveune, University of South Florida PCd 1017, Tampa, FL 33620 | 2006-09-06 |
| 1689170581 | Jessica R Mabry | Speech-Language Pathologist | 4202 E Fowler Ave, Tampa, FL 33620 | 2018-04-01 |
| 1366990111 | Megan Sears | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620 | 2016-09-21 |
| 1215303805 | Kaitlyn Rechenberg | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2015-08-18 |
| 1134520158 | Denyse Sierra | Speech-Language Pathologist | 4202 E Fowler Ave, Pcd1017, Tampa, FL 33620 | 2014-09-09 |
| 1245527738 | Kelli Gorajec | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2011-07-05 |
| 1477727865 | Adrienne Bruccoleri | Nurse Practitioner | 4202 E Fowler Ave, Tampa, FL 33620 | 2008-04-16 |
| 1487843637 | Jane Bradley Smart | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2007-10-23 |
| 1427128289 | Swapna Mukherjea | Psychiatry & Neurology | 4202 E Fowler Ave, Usf Counseling Center Svc 2124, Tampa, FL 33620 | 2006-11-09 |
| Find all providers in zip 33620 | ||||
| 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.