Active NPI
Andrea Ivy Georgina Murray, CCC/SLP
- Speech-Language Pathologist
- Kissimmee, FL
National Provider Identifier
1164701702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ5266
- Practice address
- 3184 River Branch Cir
Kissimmee, FL 34741-7601 - Phone
- (954) 309-0904
- NPI assigned
- Aug 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | SZ5266 | FL | Primary |
Addresses
Primary practice location
3184 River Branch Cir
Kissimmee, FL 34741-7601
Mailing address
3184 River Branch Cir
Kissimmee, FL 34741-7601
Phone (954) 309-0904
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 |
|---|---|---|---|
| SZ5266 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313280000000",
"number": "1164701702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 RIVER BRANCH CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417601",
"telephone_number": "954-309-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 RIVER BRANCH CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417601",
"telephone_number": "954-309-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "ANDREA",
"middle_name": "IVY GEORGINA",
"credential": "CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-14",
"last_updated": "2011-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ5266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.