Individual provider Active NPI

Marlene Tapanes, I.T.D.S, B.S, S.L.P'

  • Developmental Therapist
  • Miami, FL
National Provider Identifier
1124200282
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
SI 1242 Issued in FL
Practice address
4420 SW 135TH Ave
Miami, FL 33175-3817
Phone
(305) 281-3379
Fax
(305) 225-0270
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X SI 1242 FL Primary
Speech-Language Assistant 2355S0801X SI 1242 FL

Addresses

Primary practice location

4420 SW 135TH Ave
Miami, FL 33175-3817

Mailing address

4420 SW 135TH Ave
Miami, FL 33175-3817
Phone (305) 281-3379

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
SI 1242FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Big World Inc 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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1124200282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753817",
            "telephone_number": "305-281-3379",
            "fax_number": "305-225-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753817",
            "telephone_number": "305-281-3379",
            "fax_number": "305-225-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPANES",
        "first_name": "MARLENE",
        "name_prefix": "Miss",
        "credential": "I.T.D.S, B.S, S.L.P'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SI 1242",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI 1242",
            "primary": false
        }
    ],
    "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 Nov 16, 2009; 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.