Individual provider Active NPI

Suzanne Judith-Antonia Pierre

  • Speech-Language Pathologist
  • Lake Worth, FL
National Provider Identifier
1104490457
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17007 Issued in FL
Practice address
7258 Spinnaker Bay Dr
Lake Worth, FL 33467-7669
Phone
(561) 710-3040
Fax
(561) 584-5370
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 SA17007 FL Primary

Addresses

Primary practice location

7258 Spinnaker Bay Dr
Lake Worth, FL 33467-7669

Mailing address

6586 Hypoluxo Rd # 202
Lake Worth, FL 33467-7678
Phone (561) 710-3040

Other names 1

  • Mrs. Suzanne Judith-Antonia Pierre Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA17007FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1104490457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD # 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "561-710-3040",
            "fax_number": "561-584-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7258 SPINNAKER BAY DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677669",
            "telephone_number": "561-710-3040",
            "fax_number": "561-584-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "SUZANNE",
        "middle_name": "JUDITH-ANTONIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "PIERRE",
            "middle_name": "JUDITH-ANTONIA",
            "prefix": "MRS.",
            "credential": "M.S., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.