Individual provider Active NPI

Andrea Buonaiuto Etkie

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1184995359
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ5415 Issued in FL
Practice address
8928 Escondido Way E
Boca Raton, FL 33433-2515
Phone
(561) 901-4424
NPI assigned
Jan 19, 2012
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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 SZ5415 FL Primary

Addresses

Primary practice location

8928 Escondido Way E
Boca Raton, FL 33433-2515

Mailing address

950 Peninsula Corporate Cir
Boca Raton, FL 33487-1378

Other practice location 1

950 Peninsula Corporate Cir
Boca Raton, FL 33487-1378
Phone (561) 994-6590

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech-Language Technologies Speech-Language Pathologist Current Accepting new patients
New Direction Speech Therapy, Inc. Speech-Language Pathologist Past Accepting new patients
Speech Rehab Services LLC Past Accepting new patients

Organizations & group practices 3

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": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1184995359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 ESCONDIDO WAY E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332515",
            "telephone_number": "561-901-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Peninsula Corporate Cir",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871378",
            "country_code": "US",
            "telephone_number": "561-994-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETKIE",
        "first_name": "ANDREA",
        "middle_name": "BUONAIUTO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.