Individual provider Active NPI

Abigail June Vonburg

  • Speech-Language Pathologist
  • Daytona Beach, FL
National Provider Identifier
1154147791
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ12631 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SI7451FLMDSpeech-Language Assistant
SZ12631FLMDSpeech-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

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.

Verify at the official NPI Registry.