Active NPI
Abigail June Vonburg
- Speech-Language Pathologist
- Daytona Beach, FL
National Provider Identifier
1154147791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ12631
- Practice address
- 176 Navigator Dr Apt 7204
Daytona Beach, FL 32117-7300 - Phone
- (412) 622-4321
- NPI assigned
- Nov 27, 2024
- Last updated
- May 28, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI7451 | FL | |
| Speech-Language Pathologist | 235Z00000X | SZ12631 | FL | Primary |
Addresses
Primary practice location
176 Navigator Dr Apt 7204
Daytona Beach, FL 32117-7300
Mailing address
176 Navigator Dr Apt 7204
Daytona Beach, FL 32117-7300
Phone (412) 622-4321
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 |
|---|---|---|---|
| SI7451 | FL | MD | Speech-Language Assistant |
| SZ12631 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1154147791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 NAVIGATOR DR APT 7204",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177300",
"telephone_number": "412-622-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 NAVIGATOR DR APT 7204",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177300",
"telephone_number": "412-622-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONBURG",
"first_name": "ABIGAIL",
"middle_name": "JUNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-27",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI7451",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ12631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
- Volusia Orthopaedic Trauma Call Associates LLC (East Coast Surgery Center)
- Volusia Psychiatry & TMS PLLC
- Volusia-Flagler Caregivers, Inc. (Homewatch Caregivers Serving Volusia-Flagler)
- Volusia-Flagler Vascular Center LLC
- Jennifer Lee Von Stroh, BSHS, MSN, FNP-BC
- Sonya Voss
- Helene Brenda Vossos, NP
- Tina Vyas, DPT
- W.O.R.C. Haven Inc.
- Amy L. Wagner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.