Individual provider Active NPI

Justin Michael Nazario, B.S., SLP-A/L

  • Speech-Language Assistant
  • Kissimmee, FL
National Provider Identifier
1154047512
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Practice address
5250 Giron Cir
Kissimmee, FL 34758-2057
Phone
(407) 201-4061
NPI assigned
Oct 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Assistant 2355S0801X Primary

Addresses

Primary practice location

5250 Giron Cir
Kissimmee, FL 34758-2057

Mailing address

3179 Whooping Crane Run
Kissimmee, FL 34741-7538

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mrs K Speech, LLC CurrentSince Aug 10, 2025 Accepting new patients
Yakety Yak Speech-Language Pathologists, Inc. Speech-Language Assistant PastSince Dec 1, 2024 Accepting new patients
Yakety Yak Speech-Language Pathologists, Inc. PastSince Dec 1, 2024 Accepting new patients

Locations

5250 Giron Cir
Kissimmee, FL 34758
Phone (407) 201-4040

Organizations & group practices 3

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1154047512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 WHOOPING CRANE RUN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 GIRON CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582057",
            "telephone_number": "407-201-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "B.S., SLP-A/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 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.