Ellie Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12353 Issued in FL

Legal business name

ELLIE SPEECH THERAPY

Practice address

92 NW 93Rd St
Miami Shores, FL 33150-2233

Phone

(832) 566-3033

Fax

(305) 203-1229

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Eleanor Sequeira, M.S., CCC-SLPNPI 1295996098

Title

Speech Languag Pathologist/Owner

Phone

(832) 566-3033

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleanor Sequeira, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Miami Shores, FL
  • NPI 1295996098
  NPD (past) Authorized official

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073036604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NW 93RD ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331502233",
            "telephone_number": "832-566-3033",
            "fax_number": "305-203-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NW 93RD ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331502233",
            "telephone_number": "832-566-3033",
            "fax_number": "305-203-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "SPEECH LANGUAG PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "832-566-3033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.