Active NPI
Ivis Marcia Plasencia, SLPA
- Developmental Therapist
- Miami, FL
National Provider Identifier
1184714958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 8600 SW 92ND St
Suite 204
Miami, FL 33156-7397 - Phone
- (305) 279-2428
- Fax
- (305) 596-9996
- NPI assigned
- Oct 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI 909 | FL | |
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
8600 SW 92ND St
Suite 204
Miami, FL 33156-7397
Mailing address
14754 SW 9TH LN
Miami, FL 33194-2912
Phone (305) 228-3643
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 |
|---|---|---|---|
| SI 909 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Bilingual Speech and Language Disorders, Inc. | Past | 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.
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1912976804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1184714958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14754 SW 9TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331942912",
"telephone_number": "305-228-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 SW 92ND ST",
"address_2": "SUITE 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567397",
"telephone_number": "305-279-2428",
"fax_number": "305-596-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASENCIA",
"first_name": "IVIS",
"middle_name": "MARCIA",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI 909",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.