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KRISTINE LEIGH TAVRISOV M.S. CCC-SLP
NPI 1467029009
Speech-Language Pathologist in Jacksonville, FL

Active since June 10, 2021
11420 CAMPFIELD CIR, JACKSONVILLE, FL 32256(904) 910-1065 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Jun 28, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Kristine Leigh Tavrisov M.s. Ccc-slp NPPES

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

KRISTINE LEIGH TAVRISOV M.S. CCC-SLP (NPI 1467029009) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA20512) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1467029009
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTINE LEIGH TAVRISOVCredential: M.S. CCC-SLP
Location Address11420 CAMPFIELD CIRJacksonville, FL 32256-3907
Mailing Address11420 Campfield CirJacksonville, FL 32256-3907 · (904) 910-1065
Phone(904) 910-1065
Sole ProprietorNo
Enumeration DateJune 10, 2021
Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1467029009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA20512
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.
11420 CAMPFIELD CIR, Jacksonville, FL 32256
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAVVY SPEECH THERAPY SERVICES LLC
Speech-Language Pathologist
11420 CAMPFIELD CIR
JACKSONVILLE, FL 32256
Duval County (904) 910-1065

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 Kristine Tavrisov's NPI number?

The NPI number for Kristine Tavrisov is 1467029009. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Kristine Tavrisov located?

Kristine Tavrisov practices at 11420 Campfield Cir, Jacksonville, FL 32256. The listed phone number is (904) 910-1065.

What is Kristine Tavrisov's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kristine Tavrisov was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.