Individual provider Active NPI

Crystal Darville, SLPA

  • Speech-Language Assistant
  • North Miami Beach, FL
National Provider Identifier
1164106027
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI6322 Issued in FL
Practice address
2020 NE 163Rd St Ste 207
North Miami Beach, FL 33162-4927
Phone
(305) 949-6461
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI6322 FL Primary

Addresses

Primary practice location

2020 NE 163Rd St Ste 207
North Miami Beach, FL 33162-4927

Mailing address

17700 NW 47TH Ave
Miami Gardens, FL 33055-3656
Phone (305) 619-4555

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
SI6322FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1164106027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 NW 47TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553656",
            "telephone_number": "305-619-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST STE 207",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "305-949-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARVILLE",
        "first_name": "CRYSTAL",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.