Individual provider Active NPI

Susan Ramin, MA,CCC-SLP

  • Speech-Language Pathologist
  • Marianna, FL
National Provider Identifier
1104217512
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA-3885 Issued in FL
Practice address
4295 5TH Ave
Marianna, FL 32446-2176
Phone
(850) 482-8091
NPI assigned
Feb 7, 2015
Last updated
Feb 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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-3885 FL Primary

Addresses

Primary practice location

4295 5TH Ave
Marianna, FL 32446-2176

Mailing address

2813 Magnolia Blossom LN
Marianna, FL 32446-6395
Phone (850) 557-0333

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA-3885FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1104217512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 MAGNOLIA BLOSSOM LN",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324466395",
            "telephone_number": "850-557-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462176",
            "telephone_number": "850-482-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIN",
        "first_name": "SUSAN",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA-3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.