Active NPI
Andrea Sardi Iglesias
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1063105179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ11245
- Practice address
- 3900 Colonial Blvd Ste 1
Fort Myers, FL 33966-1014 - Phone
- (239) 351-3715
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 | SZ11245 | FL | Primary |
Addresses
Primary practice location
3900 Colonial Blvd Ste 1
Fort Myers, FL 33966-1014
Mailing address
1605 Red Cedar Dr Apt 15
Fort Myers, FL 33907-7607
Phone (305) 776-8321
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 |
|---|---|---|---|
| SZ11245 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1063105179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 RED CEDAR DR APT 15",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077607",
"telephone_number": "305-776-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 COLONIAL BLVD STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661014",
"telephone_number": "239-351-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLESIAS",
"first_name": "ANDREA",
"middle_name": "SARDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ11245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.