Individual provider Active NPI

Yarily Otano Barroso

  • Speech-Language Assistant
  • Tampa, FL
National Provider Identifier
1215773916
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
S17155 Issued in FL
Practice address
3736 W Idlewild Cir Apt 126
Tampa, FL 33614-5766
Phone
(832) 910-3219
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X S17155 FL Primary

Addresses

Primary practice location

3736 W Idlewild Cir Apt 126
Tampa, FL 33614-5766

Mailing address

3736 W Idlewild Cir Apt 126
Tampa, FL 33614-5766
Phone (832) 910-3219

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
S17155FLMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1215773916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 W IDLEWILD CIR APT 126",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145766",
            "telephone_number": "832-910-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 W IDLEWILD CIR APT 126",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145766",
            "telephone_number": "832-910-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTANO BARROSO",
        "first_name": "YARILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "S17155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.