Individual provider Active NPI

Caridad I Ballester, BA SLP-A

  • Developmental Therapist
  • Miami, FL
National Provider Identifier
1083990758
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
15620 SW 152ND PL
Miami, FL 33187-5434
Phone
(786) 351-2888
Fax
(305) 232-2146
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary
Speech-Language Assistant 2355S0801X

Addresses

Primary practice location

15620 SW 152ND PL
Miami, FL 33187-5434

Mailing address

15620 SW 152ND PL
Miami, FL 33187-5434
Phone (786) 351-2888

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1083990758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 SW 152ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875434",
            "telephone_number": "786-351-2888",
            "fax_number": "305-232-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 SW 152ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875434",
            "telephone_number": "786-351-2888",
            "fax_number": "305-232-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTER",
        "first_name": "CARIDAD",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "BA SLP-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 26, 2011; 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.