Active NPI
Terianne Nanna
- Speech-Language Pathologist
- Sunrise, FL
National Provider Identifier
1043588528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- N500814867510
- Practice address
- 9320 NW 39TH CT
Sunrise, FL 33351-5935 - Phone
- (954) 749-3727
- NPI assigned
- Dec 12, 2011
- Last updated
- Feb 13, 2012
- 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 | N500814867510 | FL | Primary |
Addresses
Primary practice location
9320 NW 39TH CT
Sunrise, FL 33351-5935
Mailing address
9320 NW 39TH Court
Sunrise, FLORIDA 33351
UM
Phone (954) 749-3727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SZ5714 | Other | FL | PROVISIONAL SPEECH-LANGUAGE PATHOLOGIST |
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 |
|---|---|---|---|
| N500814867510 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1043588528",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "9320 NW 39TH COURT",
"city": "SUNRISE",
"state": "FLORIDA",
"postal_code": "33351",
"telephone_number": "954-749-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 NW 39TH CT",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333515935",
"telephone_number": "954-749-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANNA",
"first_name": "TERIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "N500814867510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL SPEECH-LANGUAGE PATHOLOGIST",
"identifier": "SZ5714",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.