MEDICARE: HILLARY JESSICA CHISHOLM M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA10627	FL

General Provider Information

NPI Number	:	1275806150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY JESSICA CHISHOLM M.S.

Provider Business Mailing Address
First Line	:	4146 HUNTINGTON ST NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-5453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4146 HUNTINGTON ST NE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33703-5453
Country	:	US
Telephone Number	:	727-709-6203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	02/22/2012

Similar Medicare Providers

1396721221 — DR. JOHN B DECOSMO DO
Practice Location Address:

4800 4TH ST N
SAINT PETERSBURG, FL
33703-3817

Practice Phone: 727-698-2056
Practice Fax: 727-541-3956

1417911835 — BRIAN THIENEMANN MACDOWELL MD
Practice Location Address:

4724 DOVER ST NE
SAINT PETERSBURG, FL
33703-4126

Practice Phone: 828-778-8666
Practice Fax:

1376595652 — DR. GREGORY THOMAS FLYNN M.D.
Practice Location Address:

1948 CAROLINA AVE NE
SAINT PETERSBURG, FL
33703-3410

Practice Phone: 813-465-9686
Practice Fax:

1235179367 — MR. PHILLIP MICHAEL LINDSAY RRT
Practice Location Address:

1758 MARYLAND AVE NE
SAINT PETERSBURG, FL
33703-3324

Practice Phone: 727-418-8617
Practice Fax: 727-289-5781

1700807138 — TARA MATTHEWS M.S., CCC-SLP
Practice Location Address:

3950 3RD ST N , SUITE D
SAINT PETERSBURG, FL
33703-6123

Practice Phone: 727-896-8086
Practice Fax:

1710099023 — MS. BRECCA LYNN MICHAUD OTR/L
Practice Location Address:

1951 BAYOU GRANDE BLVD NE
SAINT PETERSBURG, FL
33703-1911

Practice Phone: 727-300-9471
Practice Fax:

Directions to “ HILLARY JESSICA CHISHOLM M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.