Individual provider Active NPI

Mariliam Menendez Santos, M.S., SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1174065379
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 14846 Issued in FL
Practice address
10598 Cordgrass LN Apt 5206
Jacksonville, FL 32258-1694
Phone
(787) 370-1918
NPI assigned
Nov 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 SA 14846 FL Primary

Addresses

Primary practice location

10598 Cordgrass LN Apt 5206
Jacksonville, FL 32258-1694

Mailing address

368 Thistleton Way
Saint Augustine, FL 32092-3285
Phone (787) 370-1918

Other practice location 1

821 Emmett St
Kissimmee, FL 34741-5433
Phone (787) 370-1918

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 14846FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Way to Grow Therapy LLC Speech-Language Pathologist CurrentSince Feb 16, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1174065379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 THISTLETON WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923285",
            "telephone_number": "787-370-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10598 CORDGRASS LN APT 5206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581694",
            "telephone_number": "787-370-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Emmett St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347415433",
            "country_code": "US",
            "telephone_number": "787-370-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENENDEZ SANTOS",
        "first_name": "MARILIAM",
        "name_prefix": "Mrs.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 14846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.