Active NPI
Maria Del Pilar Pagan, SLP
- Speech-Language Pathologist
- Kissimmee, FL
National Provider Identifier
1083150213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 15078
- Practice address
- 1252 S John Young Pkwy
Kissimmee, FL 34741-6319 - Phone
- (407) 913-1010
- Fax
- (407) 992-8697
- NPI assigned
- Jan 11, 2017
- 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 | SA 15078 | FL | Primary |
Addresses
Primary practice location
1252 S John Young Pkwy
Kissimmee, FL 34741-6319
Mailing address
3047 Oak Park Way Apt 105
Orlando, FL 32822-2626
Phone (787) 608-0575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA15078 | Other | FL | FL DOH LICENSE |
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 |
|---|---|---|---|
| SA 15078 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1083150213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3047 OAK PARK WAY APT 105",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222626",
"telephone_number": "787-608-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 S JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347416319",
"telephone_number": "407-913-1010",
"fax_number": "407-992-8697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "MARIA",
"middle_name": "DEL PILAR",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 15078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL DOH LICENSE",
"identifier": "SA15078",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.