Organization Active NPI

Nicholas Speech and Therapy Services Inc

  • Speech-Language Pathologist
  • Hialeah, FL
National Provider Identifier
1053786947
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 14114 Issued in FL
Legal business name
NICHOLAS SPEECH AND THERAPY SERVICES INC
Practice address
4160 W 16TH Ave
305
Hialeah, FL 33012-5853
Phone
(786) 803-0043
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Mildrey Aguila, SLP
Title
President
Phone
(786) 803-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA 14114 FL Primary

Addresses

Primary practice location

4160 W 16TH Ave
305
Hialeah, FL 33012-5853

Mailing address

4160 W 16TH Ave
305
Hialeah, FL 33012-5853
Phone (786) 803-0043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1053786947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE",
            "address_2": "305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125853",
            "telephone_number": "786-803-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE",
            "address_2": "305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125853",
            "telephone_number": "786-803-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS SPEECH AND THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "AGUILA",
        "authorized_official_first_name": "MILDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-803-0043",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 3, 2015; 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.