Active NPI
Toya Lashawn Paneque, MS/CCC/SLP
- Speech-Language Pathologist
- Bradenton, FL
National Provider Identifier
1124286315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8186
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA8186 | FL | MD | Speech-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.