Active NPI
Shantell Eliss Del Pino
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1114488988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8575
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teach 2 Speech LLC | Speech-Language Pathologist | Current | 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.