Individual provider Active NPI

Sidney Maria Vernon

  • Speech-Language Assistant
  • Miami, FL
National Provider Identifier
1023599776
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI3715 Issued in FL
Practice address
12966 SW 89TH Ave
Miami, FL 33176-5850
Phone
(786) 554-8920
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SI3715 FL Primary

Addresses

Primary practice location

12966 SW 89TH Ave
Miami, FL 33176-5850

Mailing address

18690 SW 80TH Ave
Cutler Bay, FL 33157-7491
Phone (305) 890-9492

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
SI3715FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Therapy Team LLC Single Specialty CurrentSince Sep 5, 2023 Accepting new patients
Beyond Therapy Behavioral Single Specialty CurrentSince Sep 5, 2023 Accepting new patients

Locations

12966 SW 89th Ave
Miami, FL 33176
Phone (786) 554-8920

Organizations & group practices 2

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1023599776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18690 SW 80TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577491",
            "telephone_number": "305-890-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 SW 89TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765850",
            "telephone_number": "786-554-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "SIDNEY",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 2023; 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.