Individual provider Active NPI

Ana Gloria Gonzalez Quesada

  • Speech-Language Assistant
  • Hollywood, FL
National Provider Identifier
1124637897
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI6799 Issued in FL
Practice address
417 N 26TH Ave Apt 1
Hollywood, FL 33020-4325
Phone
(786) 436-6509
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI6799 FL Primary

Addresses

Primary practice location

417 N 26TH Ave Apt 1
Hollywood, FL 33020-4325

Mailing address

417 N 26TH Ave Apt 1
Hollywood, FL 33020-4325
Phone (786) 436-6509

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL unknown

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

State licenses

LicenseStateTypeSpecialty
SI6799FLMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1124637897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N 26TH AVE APT 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204325",
            "telephone_number": "786-436-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N 26TH AVE APT 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204325",
            "telephone_number": "786-436-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ QUESADA",
        "first_name": "ANA",
        "middle_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "address_1": "417 N 26th Ave Apt 1",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330204325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.