Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366065831 Individual Practitioner Male Practitioner

Blake Andrew Nowicki , MS, CCC-SLP

Speech-Language Pathologist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Blake Nowicki, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tampa, FL. Practice services are available at 4411 N HABANA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4411 N Habana Ave

Tampa, FL 336147211

Telephone 8138722771
Associated Practice Facility / Clinic
🏢 Fi-Tampa, Llc Facility NPI 1255335857

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA17719

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID American Speech-Language-Hearing Association (Asha)
14227109

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Michael Ngo , PT

Physical Therapist

NPI 1093329674

Physical Therapist

Keegan Tahiri

Speech-Language Pathologist

NPI 1104627348
Crystal Lukacz

Physical Therapy Assistant

NPI 1144885419
Shruti Mehta

Physical Therapist

NPI 1194589317
Bianca Coleman

Physical Therapy Assistant

NPI 1215592159
Haley Ehlinger

Physical Therapy Assistant

NPI 1225775497

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2020

Registered at 4411 N HABANA AVE, TAMPA, FL 336147211 (Tel: 8138722771)

📍
Updated Business Mailing Address May 19, 2020

Registered at 4411 N HABANA AVE, TAMPA, FL 336147211 (Tel: 8138722771)

👤
Provider Name / Credentials Updated May 19, 2020

Recorded as BLAKE NOWICKI, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Speech-Language Pathologist (License #SA17719 in FL)

🟢
Initial NPI Registration & Enumeration May 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366065831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2020
Last Update: May 19, 2020
Sole Proprietor: No

Mailing Address

4411 N Habana Ave

Tampa, FL 336147211

Phone: 8138722771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.