Individual provider Active NPI

Denise M. Bustabad

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1114473360
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7818 Issued in FL
Practice address
14051 SW 72ND Ter
Miami, FL 33183-3122
Phone
(305) 431-1608
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 SZ7818 FL Primary

Addresses

Primary practice location

14051 SW 72ND Ter
Miami, FL 33183-3122

Mailing address

14051 SW 72ND Ter
Miami, FL 33183-3122
Phone (305) 431-1608

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
SZ7818FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Therapy Solutions LLC CurrentSince Mar 19, 2023 Accepting new patients
S.P.O.T Center Corp Speech-Language Pathologist CurrentSince Mar 19, 2023 Accepting new patients

Locations

2711 SW 137th Ave
Ste 98
Miami, FL 33175
Phone (305) 220-0401

Organizations & group practices 2

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1114473360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 SW 72ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833122",
            "telephone_number": "305-431-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 SW 72ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833122",
            "telephone_number": "305-431-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTABAD",
        "first_name": "DENISE",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7818",
            "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 Mar 14, 2023; 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.