Individual provider Active NPI

Linda Iris Rosa-Lugo, ED.D

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1104054899
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 3064 Issued in FL
Practice address
12424 Research Pkwy
155
Orlando, FL 32826-3249
Phone
(407) 882-0468
Fax
(407) 249-4774
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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 SA 3064 FL Primary

Addresses

Primary practice location

12424 Research Pkwy
155
Orlando, FL 32826-3249

Mailing address

2960 Cottage Grove CT
Orlando, FL 32822-4308
Phone (407) 207-1192

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 3064FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1104054899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 COTTAGE GROVE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224308",
            "telephone_number": "407-207-1192",
            "fax_number": "407-823-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 RESEARCH PKWY",
            "address_2": "155",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263249",
            "telephone_number": "407-882-0468",
            "fax_number": "407-249-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA-LUGO",
        "first_name": "LINDA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.