Individual provider Active NPI

Shantell Eliss Del Pino

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1114488988
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8575 Issued in FL
Practice address
3915 Biscayne Blvd FL 2
Miami, FL 33137-3779
Phone
(305) 542-2589
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 8575 FL Primary

Addresses

Primary practice location

3915 Biscayne Blvd FL 2
Miami, FL 33137-3779

Mailing address

1046 SW 180TH Ter
Pembroke Pines, FL 33029-4424
Phone (305) 542-2589

Other practice location 1

10300 Johnson St
Pembroke Pines, FL 33026-3995
Phone (305) 542-2589

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teach 2 Speech LLC Speech-Language Pathologist CurrentSince Feb 1, 2022 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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1114488988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 SW 180TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294424",
            "telephone_number": "305-542-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BISCAYNE BLVD FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373779",
            "telephone_number": "305-542-2589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263995",
            "country_code": "US",
            "telephone_number": "305-542-2589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL PINO",
        "first_name": "SHANTELL",
        "middle_name": "ELISS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "8575",
            "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 Jan 26, 2022; 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.