Active NPI
Suzanne Judith-Antonia Pierre
- Speech-Language Pathologist
- Lake Worth, FL
National Provider Identifier
1104490457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA17007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA17007 | FL | MD | Speech-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.