Individual provider Active NPI

Bianca Guardo, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1114392677
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13776 Issued in FL
Practice address
10300 SW 72ND St
Ste 425
Miami, FL 33173-3012
Phone
(305) 987-4748
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 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 SA13776 FL Primary

Addresses

Primary practice location

10300 SW 72ND St
Ste 425
Miami, FL 33173-3012

Mailing address

10300 SW 72ND St
Ste 425
Miami, FL 33173-3012
Phone (305) 987-4748

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SA13776FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nashville Public Schools Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1114392677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST",
            "address_2": "STE 425",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733012",
            "telephone_number": "305-987-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST",
            "address_2": "STE 425",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733012",
            "telephone_number": "305-987-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDO",
        "first_name": "BIANCA",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.