Individual provider Active NPI

Priscilla Pelletier, MS-SLP-CF

  • Speech-Language Pathologist
  • Hialeah, FL
National Provider Identifier
1043836752
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9472 Issued in FL
Practice address
1140 W 50TH St
Hialeah, FL 33012-3440
Phone
(305) 231-3371
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 9472 FL Primary

Addresses

Primary practice location

1140 W 50TH St
Hialeah, FL 33012-3440

Mailing address

851 NE 1St Ave Unit 2502
Miami, FL 33132-1846
Phone (786) 426-5095

Other practice location 1

3750 W 16th Ave Ste 218
Hialeah, FL 33012-4648
Phone (305) 231-3371

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pd1355@nyu.edu Direct
Direct Messaging Address pd1355@nyu.edu Direct

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
9472FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1043836752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NE 1ST AVE UNIT 2502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321846",
            "telephone_number": "786-426-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123440",
            "telephone_number": "305-231-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 W 16th Ave Ste 218",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124648",
            "country_code": "US",
            "telephone_number": "305-231-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "PRISCILLA",
        "credential": "MS-SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "9472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pd1355@nyu.edu",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "851 NE 1st Ave Unit 2502",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331321846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pd1355@nyu.edu",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "851 NE 1st Ave Unit 2502",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331321846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 18, 2020; 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.