Amanda Delgado Medina, BA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI5994 Issued in FL

Practice address

602 Voderburg Drive
Suite 201
Brandon, FL 33511

Phone

(813) 653-1149

NPI assigned

Feb 27, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1033818281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 TAPESTRY PARK DR APT 309",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346391400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 VODERBURG DRIVE",
            "address_2": "SUITE 201",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-653-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Harden Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031824",
            "country_code": "US",
            "telephone_number": "863-683-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO MEDINA",
        "first_name": "AMANDA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI5994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoleisy Del Pino Camaraza
• Shannon Del Rosario
• Delaney Creek Lodge, LLP
• Daimy Delgado Avila
• Idania Delgado Jimenez
• Anabel Delgado, PMHNP-BC
• Dorian Michael Delgado, MD
• Nyre Delhall
• Lori Jean Delikat, RPH
• Blaise Mitchell Delmonache, D.C.

• Speech-Language Assistant in Brandon, FL
• Providers in Brandon, 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 Feb 27, 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.