Active NPI
Lourdes Milagros Cartagena-Calderon, M.S.,CCC-SLP
- Speech-Language Pathologist
- Saint Cloud, FL
National Provider Identifier
1043562614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 13898
- Practice address
- 5119 Piazza Loop
Saint Cloud, FL 34771 - Phone
- (407) 288-6368
- NPI assigned
- Oct 8, 2012
- Last updated
- Sep 5, 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 Pathologist | 235Z00000X | SA 13898 | FL | Primary |
Addresses
Primary practice location
5119 Piazza Loop
Saint Cloud, FL 34771
Mailing address
5119 Piazza Loop
Saint Cloud, FL 34771-8011
Phone (407) 288-6368
Other practice location 1
3201 Budinger Ave
Carrousel Therapy Center & Behavioral Health Services
St. Cloud, FL 34769
Phone (407) 910-2941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530312 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 13898 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soaring Therapy Services Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Saint Cloud, FL
- NPI 1215475769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1043562614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 PIAZZA LOOP",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347718011",
"telephone_number": "407-288-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5119 PIAZZA LOOP",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "34771",
"telephone_number": "407-288-6368"
}
],
"practiceLocations": [
{
"address_1": "3201 Budinger Ave",
"address_2": "CARROUSEL THERAPY CENTER & BEHAVIORAL HEALTH SERVICES",
"address_purpose": "LOCATION",
"city": "St. Cloud",
"state": "FL",
"postal_code": "34769",
"country_code": "US",
"telephone_number": "407-910-2941",
"fax_number": "888-477-7678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTAGENA-CALDERON",
"first_name": "LOURDES",
"middle_name": "MILAGROS",
"name_prefix": "Mrs.",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 13898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "530312",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
- Carrousel Therapy Center
- Carrousel Therapy Center Corporation (Carrousel Behavioral Health Services)
- Carrousel Therapy Center Corporation
- Carrousel Therapy Center Corporation
- Carrousel Therapy Center Corporation
- Stephanie Casanova, COTA
- Sandra Monica Casmiro, COUNSELOR
- Alina Castellanos
- Brittany Stapleton Castellanos, LCSW
- Marcus Castillo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.