Individual provider Active NPI

Ada G Santiago Colon

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1073358222
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11998 Issued in FL
Practice address
9351 Fontainebleau Blvd Apt B409
Miami, FL 33172-4260
Phone
(939) 788-9861
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ11998 FL Primary

Addresses

Primary practice location

9351 Fontainebleau Blvd Apt B409
Miami, FL 33172-4260

Mailing address

9351 Fontainebleau Blvd Apt B409
Miami, FL 33172-4260

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

LicenseStateTypeSpecialty
SZ11998FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica M. Booth M.S.CCC-SLP & Assoc. ,P.a. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1073358222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 FONTAINEBLEAU BLVD APT B409",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 FONTAINEBLEAU BLVD APT B409",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724260",
            "telephone_number": "939-788-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO COLON",
        "first_name": "ADA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.