Individual provider Active NPI

Naeomi Martin Cayon

  • Speech-Language Pathologist
  • Doral, FL
National Provider Identifier
1215666573
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11096 Issued in FL
Practice address
10200 NW 25TH St # a-108
Doral, FL 33172-5921
Phone
(786) 717-5649
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X FL
Speech-Language Pathologist 235Z00000X SZ11096 FL Primary

Addresses

Primary practice location

10200 NW 25TH St # a-108
Doral, FL 33172-5921

Mailing address

12319 NW 11TH St
Miami, FL 33182-2434
Phone (305) 804-0502

Other identifiers 1

IdentifierTypeStateIssuer
0OtherNOT SURE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL clinicsource Direct

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
SZ11096FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Speech Therapy CurrentSince Jun 12, 2022 Accepting new patients
Exceptional Speech Therapy Speech-Language Pathologist CurrentSince Jun 12, 2022 Accepting new patients

Locations

10200 NW 25th St
Ste 108A
Doral, FL 33172
Phone (786) 717-5649

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1215666573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 NW 11TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822434",
            "telephone_number": "305-804-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST # A-108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-717-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYON",
        "first_name": "NAEOMI",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "clinicsource",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10200 NW 25th St # A-108",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331725921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.