NPIMap

Organization Active NPI

Nu Lifestyle LLC

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1093092348
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9274 Issued in FL
Legal business name
NU LIFESTYLE LLC
Practice address
1080 Satinleaf St
Hollywood, FL 33019-4815
Phone
(240) 388-7387
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Antonia Shrayev, MS CCC-SLP
Title
Speech Pathologist
Phone
(240) 388-7387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 9274 FL Primary

Addresses

Primary practice location

1080 Satinleaf St
Hollywood, FL 33019-4815

Mailing address

1080 Satinleaf St
Hollywood, FL 33019-4815
Phone (240) 388-7387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1093092348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SATINLEAF ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330194815",
            "telephone_number": "240-388-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SATINLEAF ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330194815",
            "telephone_number": "240-388-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "SHRAYEV",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "240-388-7387",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.