Carolyn Marin

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI4087 Issued in FL

Practice address

1218 Shorecrest Cir
Clermont, FL 34711-2942

Phone

(407) 732-8136

Fax

(407) 540-9405

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Speech & Rehab Services, LLC

  • Speech-Language Pathologist
  • Clermont, FL
  • NPI 1922440072

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1033711064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BARBERRY LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143107",
            "telephone_number": "917-847-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 SHORECREST CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112942",
            "telephone_number": "407-732-8136",
            "fax_number": "407-540-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Cory Marhalik, PA-C
• Marholin Medical Institute LLC
• Maria Elena Hernandez Borjas MD PA
• Mariela L Santiago-Rivera (Skills-Speech and Occupational Clinic)
• Mariela Santiago - SLP, LLC
• Mario a John MD PC (Universal Orthopedics)
• Mechelle Lee Marion-Lake, FNP
• Erin Christine Markham
• Greys Marquez Moreno
• Ann Michele Marquez

• Speech-Language Assistant in Clermont, FL
• Providers in Clermont, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.