Individual provider Active NPI

Natalia Martyna Wiech

  • Speech-Language Pathologist
  • Saint Petersburg, FL
National Provider Identifier
1043736044
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15488 Issued in FL
Practice address
430 3Rd Ave S Apt 319
Saint Petersburg, FL 33701-4189
Phone
(727) 900-8932
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA15488 FL Primary

Addresses

Primary practice location

430 3Rd Ave S Apt 319
Saint Petersburg, FL 33701-4189

Mailing address

430 3Rd Ave S Apt 319
Saint Petersburg, FL 33701-4189

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

LicenseStateTypeSpecialty
SA15488FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Blossom Speech Therapy LLC Speech-Language Pathologist CurrentSince Apr 23, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1043736044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 3RD AVE S APT 319",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 3RD AVE S APT 319",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014189",
            "telephone_number": "727-900-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECH",
        "first_name": "NATALIA",
        "middle_name": "MARTYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.