Individual provider Active NPI

Toya Lashawn Paneque, MS/CCC/SLP

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1124286315
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8186 Issued in FL
Practice address
4143 Lake Bayshore Dr # C508
Bradenton, FL 34205-9176
Phone
(941) 962-0220
NPI assigned
May 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 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 SA8186 FL Primary

Addresses

Primary practice location

4143 Lake Bayshore Dr # C508
Bradenton, FL 34205-9176

Mailing address

4143 Lake Bayshore Dr Unit C508
Bradenton, FL 34205-9176
Phone (941) 962-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610001675 FL Practitioner - Qualified Speech Language Pathologist 1052882016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loveland Center IncGroup PAC ID 2163813460, 5 clinicians

Practice addresses (Care Compare)

157 S Havana Rd
Venice, FL 34292-3104
Phone 9414930016320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA8186FLMDSpeech-Language Pathologist

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": "1211673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1124286315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 LAKE BAYSHORE DR UNIT C508",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342059176",
            "telephone_number": "941-962-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 LAKE BAYSHORE DR # C508",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342059176",
            "telephone_number": "941-962-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEQUE",
        "first_name": "TOYA",
        "middle_name": "LASHAWN",
        "credential": "MS/CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-25",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.