Active NPI
Roxana Marie Llanes, SLPA
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1003163494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12382
- Practice address
- 3860 SW 137TH Ave
Miami, FL 33175-6462 - Phone
- (305) 385-0168
- Fax
- (305) 385-0182
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12382 | FL | Primary |
Addresses
Primary practice location
3860 SW 137TH Ave
Miami, FL 33175-6462
Mailing address
14291 SW 120TH St Ste 103
Miami, FL 33186-7287
Phone (305) 385-0168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006554500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12382 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1003163494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14291 SW 120TH ST STE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867287",
"telephone_number": "305-385-0168",
"fax_number": "305-385-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 SW 137TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756462",
"telephone_number": "305-385-0168",
"fax_number": "305-385-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLANES",
"first_name": "ROXANA",
"middle_name": "MARIE",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006554500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.