Individual provider Active NPI

Jessica M. Caroso, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1194029967
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11392 Issued in FL
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

Updated by the provider on Jan 11, 2022

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 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

LicenseStateTypeSpecialty
SA11392FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Therapy Group Inc Speech-Language Pathologist CurrentSince Aug 25, 2019 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.

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

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.

Verify at the official NPI Registry.