Active NPI
Amy M. Zmistowski, M.A., CCC-SLP
- Speech-Language Pathologist
- Miramar, FL
National Provider Identifier
1124243639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA5839
- Practice address
- 12112 Saint Andrews PL Apt 206
Miramar, FL 33025-0705 - Phone
- (786) 525-9088
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 8, 2007
- 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 | SA5839 | FL | Primary |
Addresses
Primary practice location
12112 Saint Andrews PL Apt 206
Miramar, FL 33025-0705
Mailing address
320 S Flamingo Rd # 329
Pembroke Pines, FL 33027-1770
Phone (786) 525-9088
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA5839 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy M Zmistowski Inc | Speech-Language Pathologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124243639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S FLAMINGO RD # 329",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271770",
"telephone_number": "786-525-9088",
"fax_number": "954-322-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12112 SAINT ANDREWS PL APT 206",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330250705",
"telephone_number": "786-525-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZMISTOWSKI",
"first_name": "AMY",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA5839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.