Shaira Torres Macias Perdue, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17389 Issued in FL

Practice address

1955 N Federal Hwy Unit 253
Pompano Beach, FL 33062-1036

Phone

(406) 351-9442

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1104409333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SW 6TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609018",
            "telephone_number": "406-351-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N FEDERAL HWY UNIT 253",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621036",
            "telephone_number": "406-351-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS PERDUE",
        "first_name": "SHAIRA",
        "middle_name": "TORRES",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.C. Jacobson PA
• Jenny Macdougall, M. ED
• Joao R Macedo, Filho, MD
• Lila Machado
• Marcelo Machado, LMT
• Aundrea Elnora Mack, M.D
• Tiffany Leigh-Ann Mack
• Michaela Jean Maclain
• Wendy Maristela Madrid
• Alison Magoon

• Speech-Language Pathologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.