Active NPI
Jessica M. Caroso, CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1194029967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11392
- Practice address
- 350 NE 24TH St Apt 1003
Miami, FL 33137-4878 - Phone
- (860) 416-7248
- Fax
- (305) 503-7173
- NPI assigned
- Jan 7, 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 | SA11392 | FL | Primary |
Addresses
Primary practice location
350 NE 24TH St Apt 1003
Miami, FL 33137-4878
Mailing address
350 NE 24TH St Apt 1003
Miami, FL 33137-4878
Phone (860) 416-7248
Other practice location 1
7414 SW 129th Ct
Miami, FL 33183-3452
Phone (000) 000-0000
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 |
|---|---|---|---|
| SA11392 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Therapy Group Inc | Speech-Language Pathologist | Current | Accepting new patients |
| MD Therapy Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 2
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 1538690797
-
- Clinic/Center
- Miami, FL
- NPI 1780245316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1194029967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NE 24TH ST APT 1003",
"city": "MIAMI",
"state": "FL",
"postal_code": "331374878",
"telephone_number": "860-416-7248",
"fax_number": "305-503-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NE 24TH ST APT 1003",
"city": "MIAMI",
"state": "FL",
"postal_code": "331374878",
"telephone_number": "860-416-7248",
"fax_number": "305-503-7173"
}
],
"practiceLocations": [
{
"address_1": "7414 SW 129th Ct",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331833452",
"country_code": "US",
"telephone_number": "000-000-0000",
"fax_number": "305-503-7173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAROSO",
"first_name": "JESSICA",
"middle_name": "M.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Annie Carolina, OTR/L
- Carolinas Speech & Language Therapy Services LLC
- Carolinas Speech & Language Therapy Services LLC
- Douglas Carollo, ARNP FNP-BC
- Carolyn Maldonado-Garcia MD PA
- Klary Carol Carothers
- Carpal Doctors LLC
- Carpe Diem Academia
- Carpe Diem Academy Corporation
- Carpe Diem Academy Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.