Active NPI
Marlene Perez
- Speech-Language Assistant
- Lehigh Acres, FL
National Provider Identifier
1063961688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI2999
- Practice address
- 5598 8TH St W Unit 3
Lehigh Acres, FL 33971-6341 - Phone
- (239) 674-9374
- Fax
- (239) 491-3057
- NPI assigned
- Sep 23, 2016
- Last updated
- Sep 23, 2016
- 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 Assistant | 2355S0801X | SI2999 | FL | Primary |
Addresses
Primary practice location
5598 8TH St W Unit 3
Lehigh Acres, FL 33971-6341
Mailing address
5598 8TH St W Unit 3
Lehigh Acres, FL 33971-6341
Phone (239) 674-9374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006236000 | Medicaid | FL |
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 |
|---|---|---|---|
| SI2999 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1063961688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5598 8TH ST W UNIT 3",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339716341",
"telephone_number": "239-674-9374",
"fax_number": "239-491-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5598 8TH ST W UNIT 3",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339716341",
"telephone_number": "239-674-9374",
"fax_number": "239-491-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI2999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006236000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.