Active NPI
Natalia Lugo Reyes
- Speech-Language Assistant
- Brooksville, FL
National Provider Identifier
1154053486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- S4984
- Practice address
- 20158 Cortez Blvd
Brooksville, FL 34601-3832 - Phone
- (352) 796-0069
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | S4984 | FL | Primary |
Addresses
Primary practice location
20158 Cortez Blvd
Brooksville, FL 34601-3832
Mailing address
20158 Cortez Blvd
Brooksville, FL 34601-3832
Phone (352) 796-0069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888501000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S4984 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Therapy Services Inc | Current | Accepting new patients | |
| Superior Therapy Services Inc | Past | Accepting new patients |
Locations
20158 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-2300
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Brooksville, FL
- NPI 1093682627
-
- Clinic/Center
- Crystal River, FL
- NPI 1134117542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1154053486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20158 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013832",
"telephone_number": "352-796-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20158 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013832",
"telephone_number": "352-796-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO REYES",
"first_name": "NATALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "S4984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888501000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.