Active NPI
Marina J Schutte, MA, CCC-SLP
- Speech-Language Pathologist
- Palm Bay, FL
National Provider Identifier
1184867293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9302
- Practice address
- 509 Delmonico St NE
Palm Bay, FL 32907-3104 - Phone
- (321) 961-4957
- NPI assigned
- Apr 20, 2009
- 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 Pathologist | 235Z00000X | SA9302 | FL | Primary |
Addresses
Primary practice location
509 Delmonico St NE
Palm Bay, FL 32907-3104
Mailing address
509 Delmonico St NE
Palm Bay, FL 32907-3104
Phone (321) 961-4957
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA 9302 | Other | FL | DOH LICENSE |
| 000795600 | Medicaid | FL | |
| 000797200 | Medicaid | FL |
Other names 1
- Marina J Toler
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9302 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1184867293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 DELMONICO ST NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073104",
"telephone_number": "321-961-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 DELMONICO ST NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073104",
"telephone_number": "321-961-4957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTTE",
"first_name": "MARINA",
"middle_name": "J",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH LICENSE",
"identifier": "SA 9302",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000795600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000797200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARINA",
"last_name": "TOLER",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.