MRS. TRINA GIDDENS NUSSBAUMER


Address: 1300 Citizens Blvd Fl 3, Leesburg, FL 34748-3965
Phone: 3523230612

MRS. TRINA GIDDENS NUSSBAUMER (NPI# 1639256381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639256381
Entity Type Individual
Full Name MRS. TRINA GIDDENS NUSSBAUMER
Credential M.S., CCC-SLP
Practice Address 1300 Citizens Blvd Fl 3
Leesburg
FL 34748-3965
Practice Telephone 3523230612
Practice Fax Number 3527872386
Mailing Telephone 3523230612
Mailing Fax Number 3527872386
Enumeration Date 2006-11-01
Last Update Date 2016-10-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA 3668 FL Speech, Language and Hearing Service Providers
N 252Y00000X Early Intervention Provider Agency Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 812099400 05
FL 885297900 05

Office Location

Street Address 1300 CITIZENS BLVD FL 3
City LEESBURG
State FL
Zip Code 34748-3965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720630817 Carolyn Casler Social Worker 1300 Citizens Blvd Fl 3, Leesburg, FL 34748-3965 2019-07-10
1194279646 Arlinda Mango Social Worker 1300 Citizens Blvd Fl 3, Leesburg, FL 34748-3965 2016-08-12

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1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760016612 Jeh Speech & Swallowing Therapy Speech-Language Pathologist 231 Winnstead Dr, Leesburg, GA 31763-5376 2020-03-01
1164906590 Barbara Hollar Madgwick Speech-Language Pathologist 20 Union St Nw, Leesburg, VA 20176-2204 2018-09-21
1679079495 Lisa Shorten Speech-Language Pathologist 490 Evergreen Mill Rd Se, Leesburg, VA 20175-8724 2018-04-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1659801280 Kristin Wallner Speech-Language Pathologist 203 Loudoun St Sw, Leesburg, VA 20175-2722 2017-06-15
1326594011 Angela Cloud Speech-Language Pathologist 248 Golden Larch Ter Ne, Leesburg, VA 20176-4033 2016-08-31
1487107561 Christine Miner Speech-Language Pathologist 480 Kornblau Ter Se, Leesburg, VA 20175-3750 2016-07-26
1902259211 Jennifer Appel Speech-Language Pathologist 20594 Hutton Cir, Leesburg, VA 20175-8612 2016-07-21
1407209273 Suzanne Ling Speech-Language Pathologist 43768 Riverpoint Dr, Leesburg, VA 20176-8242 2016-07-18
1730534827 Capital Speech Therapy Speech-Language Pathologist 826 Anthony Ct Se, Leesburg, VA 20175-5629 2016-04-26
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Competitor

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City LEESBURG
Zip Code 34748

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Dataset Information

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.

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