Marissa D'Agostino Pendley, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 4153 Issued in FL

Practice address

800 Meadowland Dr
Unit E
Naples, FL 34108-2531

Phone

(239) 431-7305

NPI assigned

May 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• MDP Speech Language Therapy, PA

  • Speech-Language Pathologist
  • Naples, FL
  • NPI 1962870774
  NPD (past) Authorized official

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1144488677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 CHESTNUT CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097811",
            "telephone_number": "239-248-0458",
            "fax_number": "239-316-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWLAND DR",
            "address_2": "UNIT E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082531",
            "telephone_number": "239-431-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "MARISSA",
        "middle_name": "D'AGOSTINO",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004536",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 4153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pena Alvarez
• Rodolfo Javier Pena-Ariet, MD
• Manuel M Pena, M.D.
• Priscila Pena
• Judith K Pence, PT
• Pooja Pendri, MD
• Victoria Penn, MS CCC-SLP
• John Anthony Pennisi, D.O.
• Sally Penrose
• Donna Peragine, APRN

• Speech-Language Pathologist in Naples, FL
• Providers in Naples, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.