Individual provider Active NPI

Evelyn Ivana Pinto-Cardona

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1003307208
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16716 Issued in FL
Practice address
8590 SW 40TH St
Miami, FL 33155-3214
Phone
(305) 266-5353
Fax
(305) 266-6550
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA16716 FL Primary

Addresses

Primary practice location

8590 SW 40TH St
Miami, FL 33155-3214

Mailing address

9426 SW 146TH CT
Miami, FL 33186-1073
Phone (786) 326-5480

Other identifiers 1

IdentifierTypeStateIssuer
1003307208MedicaidVA

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

LicenseStateTypeSpecialty
SA16716FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconnect Therapy Services, Inc PastSince Feb 7, 2021 Accepting new patients
Speech Pathology and Educational Centerinc PastSince May 24, 2020 Accepting new patients
Speech Pathology and Educational Center Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1003307208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 SW 146TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861073",
            "telephone_number": "786-326-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553214",
            "telephone_number": "305-266-5353",
            "fax_number": "305-266-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO-CARDONA",
        "first_name": "EVELYN",
        "middle_name": "IVANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003307208",
            "state": "VA"
        }
    ],
    "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 Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.