Active NPI
Erika Vargas
- Speech-Language Pathologist
- Davenport, FL
National Provider Identifier
1104392760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21173
- Practice address
- Speech Aesthetics Therapy
3500 Posner Blvd. #1481
Davenport, FL 33837 - Phone
- (407) 494-5170
- NPI assigned
- Oct 22, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI3723 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA21173 | FL | Primary |
Addresses
Primary practice location
Speech Aesthetics Therapy
3500 Posner Blvd. #1481
Davenport, FL 33837
Mailing address
907 Sydney Street
Orlando, FL 32833-3973
Phone (347) 742-2889
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI3723 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1104392760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 SYDNEY STREET",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328333973",
"telephone_number": "347-742-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPEECH AESTHETICS THERAPY",
"address_2": "3500 POSNER BLVD. #1481",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "407-494-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "ERIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2024-02-28",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI3723",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.