Individual provider Active NPI

Deirdre Kristine Robinson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Stuart, FL
National Provider Identifier
1144574542
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ6054 Issued in FL
Practice address
850 NW Federal Hwy Ste 110
Stuart, FL 34994
Phone
(772) 245-4444
Fax
(772) 324-6559
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 SZ6054 FL Primary

Addresses

Primary practice location

850 NW Federal Hwy Ste 110
Stuart, FL 34994

Mailing address

850 NW Federal Hwy Ste 110
Stuart, FL 34994-1019
Phone (772) 245-4444

Other practice location 1

800 Virginia Ave
Suite 20
Fort Pierce, FL 34982-5829
Phone (772) 462-6636

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ6054FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1144574542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-245-4444",
            "fax_number": "772-324-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-245-4444",
            "fax_number": "772-324-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Virginia Ave",
            "address_2": "Suite 20",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349825829",
            "country_code": "US",
            "telephone_number": "772-462-6636",
            "fax_number": "772-462-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DEIRDRE",
        "middle_name": "KRISTINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.