Individual provider Active NPI

Norma Leticia Sotomayor

  • Speech-Language Pathologist
  • Kissimmee, FL
National Provider Identifier
1144617127
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3039 Issued in PR
Practice address
4280 W Vista CT
Kissimmee, FL 34746-4038
Phone
(787) 449-4405
NPI assigned
Apr 17, 2015
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1532 PR
Speech-Language Pathologist 235Z00000X 3039 PR Primary

Addresses

Primary practice location

4280 W Vista CT
Kissimmee, FL 34746-4038

Mailing address

4280 W Vista CT
Kissimmee, FL 34746-4038
Phone (787) 449-4405

Other practice location 1

4 I-10 Prados Salinas
Salinas, PR 00751-1633
Phone (787) 449-4405

Other identifiers 1

IdentifierTypeStateIssuer
4225347OtherPRLICENCIA

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

State licenses

LicenseStateTypeSpecialty
1532PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1144617127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 W VISTA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464038",
            "telephone_number": "787-449-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 W VISTA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464038",
            "telephone_number": "787-449-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 I-10 Prados Salinas",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "PR",
            "postal_code": "007511633",
            "country_code": "US",
            "telephone_number": "787-449-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "NORMA",
        "middle_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1532",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "3039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "4225347",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.