Active NPI
Odalis Abreu, M.S. CCC-SLP
- Speech-Language Pathologist
- Hialeah, FL
National Provider Identifier
1043578636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12516
- Practice address
- 922 E 26TH St
Hialeah, FL 33013-3411 - Phone
- (786) 253-7230
- NPI assigned
- May 2, 2012
- Last updated
- Dec 22, 2016
- 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 | SA12516 | FL | Primary |
Addresses
Primary practice location
922 E 26TH St
Hialeah, FL 33013-3411
Mailing address
922 E 26TH St
Hialeah, FL 33013-3411
Phone (786) 253-7230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005939900 | 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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12516 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Speech-Language Pathologist | Current | Accepting new patients |
Locations
14291 SW 120th St
Ste 103
Miami, FL 33186
Phone (305) 385-0168
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1043578636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 E 26TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133411",
"telephone_number": "786-253-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 E 26TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133411",
"telephone_number": "786-253-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "ODALIS",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005939900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.