Active NPI
Andrea Dasilva, SLP
- Speech-Language Pathologist
- Live Oak, FL
National Provider Identifier
1053867382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ9295
- Practice address
- 609 5TH St SW Ste 3
Live Oak, FL 32064-2239 - Phone
- (386) 965-0486
- Fax
- (888) 841-9040
- NPI assigned
- Aug 28, 2016
- Last updated
- Feb 26, 2020
- 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 | SZ9295 | FL | Primary |
Addresses
Primary practice location
609 5TH St SW Ste 3
Live Oak, FL 32064-2239
Mailing address
609 5TH St SW, Suite 3
Live Oak, FL 32064
Phone (386) 965-0486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SZ9295 | Other | FL | FL LICENSE |
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 |
|---|---|---|---|
| SZ9295 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1053867382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 5TH ST SW, SUITE 3",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "32064",
"telephone_number": "386-965-0486",
"fax_number": "888-841-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 5TH ST SW STE 3",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320642239",
"telephone_number": "386-965-0486",
"fax_number": "888-841-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASILVA",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "SZ9295",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
- Taylor Cumbess, B.S. E.D. SLP-A
- D's Healthcare Transportation Inc.
- Aimee Noelle Daniel, M.ED. CCC-SLP
- Tammy Lee Daniel, APRN
- Melissa Dionne Daniels, PHARMD, CPH
- Omar Luis Del Llano
- Delta Health Group Inc (Suwannee Health Care Center)
- Digestive Disease Center of Live Oak, LLC
- Malesa Dukes, LCSW(PROVISIONAL)
- Robert Dale Dunlap
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.