MEDICARE: MS. TIANA ROSE MAGNAN SLP

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	30004442	NC
2	235Z00000X	Speech-Language Pathologist	035807	NY

General Provider Information

NPI Number	:	1679440572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TIANA ROSE MAGNAN SLP

Provider Business Mailing Address
First Line	:	4909 WATERS EDGE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-0039
Country	:	US
Telephone Number	:	919-285-1647
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 WATERS EDGE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-0039
Country	:	US
Telephone Number	:	919-285-1647
Fax Number	:

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

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	06/08/2026

Similar Medicare Providers

1093329641 — ESTEFANIA ALVAREZ
Practice Location Address:

4909 WATERS EDGE DR
RALEIGH, NC
27606-0039

Practice Phone: 919-285-1647
Practice Fax:

1700453271 — RACHAEL DAY OHLMAN M.ED. CCC-SLP
Practice Location Address:

4909 WATERS EDGE DR
RALEIGH, NC
27606-0039

Practice Phone: 919-285-1647
Practice Fax:

1154272847 — ALLISON LAKE
Practice Location Address:

4909 WATERS EDGE DR
RALEIGH, NC
27606-0039

Practice Phone: 919-589-2196
Practice Fax:

1447199443 — CONNOR CAROLINE DAUGHTRIDGE
Practice Location Address:

4909 WATERS EDGE DR
RALEIGH, NC
27606-0039

Practice Phone: 919-285-1647
Practice Fax:

1417881715 — CITIZENS BEHAVIORAL HEALTH LLC
Practice Location Address:

5540 CENTERVIEW DR
RALEIGH, NC
27606-3363

Practice Phone: 919-633-9397
Practice Fax:

1528994571 — KELIY GROBBELAAR LSCWA
Practice Location Address:

4904 WATERS EDGE DR
RALEIGH, NC
27606-2484

Practice Phone: 919-285-4802
Practice Fax:

Directions to “ MS. TIANA ROSE MAGNAN SLP” 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 © 2007-2026 (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.