Individual provider Active NPI

Cara Mia Paszternak

  • Speech-Language Pathologist
  • Clermont, FL
National Provider Identifier
1164159356
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22363 Issued in FL
Practice address
1218 Shorecrest Cir
Clermont, FL 34711-2942
Phone
(407) 732-8136
NPI assigned
Aug 7, 2022
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22363 FL Primary

Addresses

Primary practice location

1218 Shorecrest Cir
Clermont, FL 34711-2942

Mailing address

626 Persian Dr
Haines City, FL 33844-8381
Phone (772) 766-1322

Other names 1

  • Cara Mia Brueggeman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cara@advancedspeechrehab.com Direct

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
22363FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Speech & Rehab Services, LLC Speech-Language Pathologist CurrentSince Aug 14, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1164159356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 PERSIAN DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448381",
            "telephone_number": "772-766-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 SHORECREST CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112942",
            "telephone_number": "407-732-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASZTERNAK",
        "first_name": "CARA",
        "middle_name": "MIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "22363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cara@advancedspeechrehab.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1218 Shorecrest Cir",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347112942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "BRUEGGEMAN",
            "middle_name": "MIA",
            "credential": "BRUEGGEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.