Active NPI
Crystal Darville, SLPA
- Speech-Language Assistant
- North Miami Beach, FL
National Provider Identifier
1164106027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI6322
- 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, 2023
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SI6322 | FL | MD | Speech-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
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- Fred Daniel
- Frank Dardompre
- Zuhdiyah Milagros Darojat, D.M.D.
- Jennifer Lineth Dasilva
- David Eugene DDS II PLLC
- David M. Adelman, DDS. P.a.
- David Nevins Acupuncture, Inc (David Nevins Acupuncture Works)
- Eileen Jo-Anne Davidson
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.