South Florida Speech and Swallow

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11693 Issued in FL

Legal business name

SOUTH FLORIDA SPEECH AND SWALLOW

Practice address

1426 Sunshine Dr
Jupiter, FL 33458-8777

Phone

(561) 351-4103

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Marisa Beryl Shilling, M.S., CCC-SLPNPI 1639459043

Title

Manager

Phone

(561) 351-4103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marisa Beryl Shilling, M.S.

  • Speech-Language Pathologist
  • Jupiter, FL
  • NPI 1639459043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1114422607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 SUNSHINE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588777",
            "telephone_number": "561-351-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 SUNSHINE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588777",
            "telephone_number": "561-351-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SPEECH AND SWALLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "SHILLING",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "BERYL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-351-4103",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debora Souza, LMT

• Speech-Language Pathologist in Jupiter, FL
• Providers in Jupiter, 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 Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.