UNIVERSITY OF SOUTH FLORIDA (NPI# 1659681021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659681021 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH FLORIDA |
| Other Organization Name | DEPARTMENT OF COMMUNICATION SCIENCES AND DISORDERS |
| Practice Address |
4202 E Fowler Ave Stop PCd1017 Pcd 1017 Tampa FL 33620-7250 |
| Practice Telephone | 8139748804 |
| Practice Fax Number | 8139740822 |
| Mailing Telephone | 8139748804 |
| Mailing Fax Number | 8139740822 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | PEGGY OTT (CSD-OFFICE MANAGER) |
| Authorized Official Telephone | 8139749780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| DEPARTMENT OF COMMUNICATION SCIENCES AND DISORDERS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
| 1487660742 | University of South Florida | Clinic/Center | 3612 N Arlington Ave, Tampa, FL 33603-5606 | 2006-07-31 |
| 1598118606 | University of South Florida | Health Maintenance Organization | 4202 E Fowler Ave, Ath100, Tampa, FL 33620-8000 | 2016-07-14 |
| 1235544594 | University of South Florida | Pharmacy | 13330 Usf Laurel Dr., Mdc 52, Tampa, FL 33612 | 2014-06-25 |
| 1093929770 | University of South Florida | Developmental Therapist | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2007-05-10 |
| 1417171208 | University of South Florida | Community/Behavioral Health | 3500 E Fletcher Ave, Suite 225, Tampa, FL 33613-4708 | 2007-04-12 |
| 1578601654 | University of South Florida | Clinic/Center | 4202 E Fowler Ave, Shs100, Tampa, FL 33620-6750 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH FLORIDA | 830 1st St Msl 128, Saint Petersburg, FL 33701 |
| Vermont Business Registrations | UNIVERSITY OF SOUTH FLORIDA HEALTH SCIENCES CENTER INS CO IN | 76 St Paul St, Ste 500, Burlington, VT 05401 |
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH FLORIDA INSTITUTE OF APPLIED ENGINEERING, INCORPORATED | 4202 E Fowler Ave Stop Enb118, Tampa, FL 33620-5350 |
| Street Address |
4202 E FOWLER AVE STOP PCD1017 PCD 1017 |
| City | TAMPA |
| State | FL |
| Zip Code | 33620-7250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265657316 | Leslie Chiaventone Lopez | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-3827 | 2007-04-16 |
| 1548820657 | Hannah Gospodinsky | Audiologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-7250 | 2019-06-20 |
| 1932637832 | Alexandra Brandimore | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-7250 | 2017-05-23 |
| 1336676741 | Adithya Chandregowda | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-0001 | 2017-05-16 |
| 1447603089 | Wendy L Olsen | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-7250 | 2016-07-19 |
| 1881055416 | Elisabel Jimenez Chang | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-1611 | 2016-03-09 |
| 1891125415 | Amanda Marie David | Interpreter | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-7250 | 2013-11-18 |
| 1043573439 | Danielle Renee Harris | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-4338 | 2012-06-20 |
| 1831450592 | Rebecca Sarah Marcadis | Audiologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-0001 | 2012-05-30 |
| 1841570033 | Teresa Irene Anthony | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620-3131 | 2011-08-19 |
| Find all providers in the same location | ||||
| 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 |
| 1477727865 | Adrienne Bruccoleri | Nurse Practitioner | 4202 E Fowler Ave, Tampa, FL 33620 | 2008-04-16 |
| 1427128289 | Swapna Mukherjea | Psychiatry & Neurology | 4202 E Fowler Ave, Usf Counseling Center Svc 2124, Tampa, FL 33620 | 2006-11-09 |
| 1912082199 | Rebecca Marie Lutz | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-10-26 |
| 1306956206 | Wendy Weiss | Family Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-08-30 |
| 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.