Averil Kayla Mark, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6383 Issued in FL

Practice address

12207 SW 6TH St
Pembroke Pines, FL 33025-5927

Phone

(954) 683-7090

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Averil Kayla Hosten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Speech Rehab Services LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1114268927
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003933748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 SW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255927",
            "telephone_number": "954-683-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 SW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255927",
            "telephone_number": "954-683-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "AVERIL",
        "middle_name": "KAYLA",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888346700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERIL",
            "last_name": "HOSTEN",
            "middle_name": "KAYLA",
            "credential": "M.S.,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mario Magcalas MD PA
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• Mark Forrest D.M.D. P.a.
• Mark Jaffe M D P a
• Mark Nathan DC PA
• Novia Markes, APRN
• Slavisa Markovic, MD
• Marlene Lora-Mejia Inc
• Marlene Tages Cordova, DO, PA
• Marlenny Feliz MD PA

• Speech-Language Pathologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.