Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FLORIDA STATE UNIVERSITY
NPI 1053309807
Clinic/Center in Tallahassee, FL

Active since October 06, 2005CLIA 10D0961727 · Waiver
201 W BLOXHAM ST WARREN BUILDING, TALLAHASSEE, FL 32306(850) 644-2238(850) 644-8994 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Sep 25, 2026, Sep 6, 2023 and 2 more (5 updates tracked since 2017).

About Florida State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA STATE UNIVERSITY (NPI 1053309807), doing business as Fsu Speech & Hearing Clinic, is a healthcare organization registered as a clinic/center in Tallahassee, Florida and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through January 3, 2027, maintains a secondary practice location in Tallahassee, and lists Shrylan Reena Alexander, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1053309807
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFLORIDA STATE UNIVERSITY
Location Address201 W BLOXHAM ST WARREN BUILDINGTallahassee, FL 32306-1200
Mailing Address201 W Bloxham St Warren BuildingTallahassee, FL 32306-1200 · (850) 644-2238 · Fax (850) 644-8994
Fax(850) 644-8994
Organization SubpartNo
Authorized OfficialShrylan Reena AlexanderOffice Administrator · (850) 644-2238
Enumeration DateOctober 6, 2005
Last NPPES UpdateOctober 12, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1053309807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License SA 5640 (FL)
201 W BLOXHAM ST WARREN BUILDING, Tallahassee, FL 32306

Other Names 1

Doing Business AsFsu Speech & Hearing Clinic

Secondary Practice Location 1

Location 12390 Phillips RdTallahassee, FL 32306-1200 · Phone (850) 645-3103 · Fax (850) 644-8994

Other Identifiers 1

Medicaid880606300FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Florida State University, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Qualified Speech Language Pathologist4
Qualified Audiologist3

Clinicians, nearest first (15)

Qualified Speech Language Pathologist
NPI 1417884917
201 W BLOXHAM ST
Tallahassee, FL 32301
(850) 644-2238
Same address
Qualified Audiologist
NPI 1972221745
201 W BLOXHAM ST
Tallahassee, FL 32301
(850) 644-2238
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1801204987
1690 N MONROE ST
Tallahassee, FL 32303
(850) 385-2222
✔ PECOS✔ Accepts Medicare1.9 mi
Qualified Speech Language Pathologist
NPI 1124420872
1609 MEDICAL DR
Tallahassee, FL 32308
(850) 431-7836
✔ Accepts Medicare2.2 mi
Qualified Speech Language Pathologist
NPI 1497303002
1609 MEDICAL DR
Tallahassee, FL 32308
(850) 431-4612
✔ Accepts Medicare2.2 mi
Qualified Audiologist
NPI 1215027685
107 REGIONAL REHABILIATION CENTER FLORIDA STATE UNIVERSITY
Tallahassee, FL 32306
(850) 645-7303
✔ Accepts Medicare2.2 mi
Qualified Audiologist
NPI 1891885356
107 REGIONAL REHABILITATION CENTER FLORIDA STATE UNIVERSITY SPEECH AND HEARING CLINIC
Tallahassee, FL 32306
(850) 644-2238
✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1861877094
1630 RIGGINS RD
Tallahassee, FL 32308
(850) 878-4434
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1245939230
1630 RIGGINS RD
Tallahassee, FL 32308
(850) 878-4434
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1659183572
1630 RIGGINS RD
Tallahassee, FL 32308
(850) 878-4434
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1376043034
2634 CAPITAL CIR NE
Tallahassee, FL 32308
(850) 523-3333
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1679728026
FSU HEALTH LIFESTYLE MEDICINE CLINIC 1630 RIGGINS ROAD
Tallahassee, FL 32308
(850) 878-4434
✔ PECOS✔ Accepts Medicare4.4 mi
Qualified Speech Language Pathologist
NPI 1578651907
2995 N UMBERLAND DR
Tallahassee, FL 32309
(850) 668-7052
8.1 mi
Nurse Practitioner
NPI 1518941046
106 E WASHINGTON ST
Monticello, FL 32344
(850) 294-3378
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1245786474
9913 LAUREL VALLEY AVE CIR
Bradenton, FL 34202
(941) 587-3192
✔ PECOS✔ Accepts Medicare236 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0961727

Florida State University Health Services · Tallahassee, FL
Active · expires Jan 3, 2027
CLIA Number10D0961727
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorChristopher W. Delisle
Laboratory Phone(850) 644-4567
Laboratory LocationFlorida State University Health Services960 Learning Way, Tallahassee, FL 32306
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida State University's NPI number?

The NPI number for Florida State University is 1053309807. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as FSU Speech & Hearing Clinic.

Where is Florida State University located?

Florida State University is located at 201 W Bloxham St Warren Building, Tallahassee, FL 32306. The listed phone number is (850) 644-2238.

What is Florida State University's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Florida State University enrolled in Medicare?

Yes. Florida State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Florida State University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Qualified Speech Language Pathologist (4) and Qualified Audiologist (3). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0961727) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida State University accept?

Health plans from Capital Health Plan list Florida State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida State University was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.