Mrs Trina Giddens Nussbaumer, MS, CCC-SLP is a
Developmental Therapist based in Fruitland Park, Florida. Mrs Trina Giddens Nussbaumer is licensed to practice in * (Not Available) (license number ) and her current practice location is
3261 Us Hwy 441, Suite B-3, Fruitland Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 326-0612.
NPI number for Mrs Trina Giddens Nussbaumer is 1639256381 and her current mailing address is 3261 Us Hwy 441, Suite B3, Fruitland Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639256381.
Healthcare Provider's Profile
| Full Name | Mrs Trina Giddens Nussbaumer |
|---|
| Gender | Female |
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| Speciality | Developmental Therapist |
|---|
| Location | 3261 Us Hwy 441, Suite B-3, Fruitland Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639256381
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 02/17/2025
Medical Identifiers
Medical identifiers for Mrs Trina Giddens Nussbaumer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639256381 | NPI | - | NPPES |
| 812099400 | Medicaid | FL | |
| 885297900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SA 3668 (Florida) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Trina Giddens Nussbaumer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Trina Giddens Nussbaumer, MS, CCC-SLP
3261 Us Hwy 441, Suite B3,
Fruitland Park, FL 34731-4497
Ph: (352) 323-0612 | Mrs Trina Giddens Nussbaumer, MS, CCC-SLP
3261 Us Hwy 441, Suite B-3,
Fruitland Park, FL 34731-4497
Ph: (352) 326-0612 |
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