Vanessa Fagundo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16246 Issued in FL

Practice address

1890 SW 16TH Ter
Miami, FL 33145-1433

Phone

(786) 382-5071

NPI assigned

Dec 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Early Steps Therapy Inc.

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1104554674
  NPD Authorized official

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1083035786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SW 16 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "786-382-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451433",
            "telephone_number": "786-382-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUNDO",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8120",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Patricia Fagan
• Sherry Lee Fagin, MSED
• Marcio A Fagundes, MD
• Flavia Fagundo Martinez
• Lizette Josefina Fagundo, MPT
• Fahed Fayad MD PA
• Ghassan Edward Fahel, D.O.
• Fai Therapy ABA Corp
• Tania Faife, PHARM-D
• Anthony W Fain, OTA

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, 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 Oct 19, 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.