Active NPI
Sidney Maria Vernon
- Speech-Language Assistant
- Miami, FL
National Provider Identifier
1023599776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI3715
- 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
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 Assistant | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SI3715 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Therapy Team LLC | Single Specialty | Current | Accepting new patients |
| Beyond Therapy Behavioral | Single Specialty | Current | 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.